NPIMap

Organization Active NPI

Community Hospital of the Monterey Peninsula

Doing business as Hospice of the Central Coast

  • Community Based Hospice Care Agency
  • Monterey, CA
National Provider Identifier
1508854423
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0700000395 Issued in CA
Legal business name
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
Doing business as
Hospice of the Central Coast
Practice address
2 Upper Ragsdale Dr
Ste D210
Monterey, CA 93940-7850
Phone
(831) 649-7750
Fax
(831) 649-7751
NPI assigned
Oct 13, 2005
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Thomas Morgan
Title
Vice-President, Cfo
Phone
(831) 625-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0700000395 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr
Ste D210
Monterey, CA 93940-7850

Mailing address

PO Box HH
Business Development & Contracting
Monterey, CA 93942-6032
Phone (831) 658-3977

Other identifiers 1

IdentifierTypeStateIssuer
HPC01501GMedicaidCA

Other names 1

  • Hospice of the Central Coast Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000477 CA Part A Provider - Hospice 7214839125 Practice locations: Monterey, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508854423. Details of each certification follow.

Hospice certification: CCN 051501

Legal name
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
Doing business as
HOSPICE OF THE CENTRAL COAST
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 1, 1983
Last certification
May 17, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 28, 1928 in CA
Enrollment address
2 Upper Ragsdale Dr
Ste D120
Monterey, CA 93940-7838

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the Central CoastCCN 051501 · All quality measures
Ownership
Non-Profit
Certified
Nov 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Comm Hosp Monterey Penn6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Upper Ragsdale Dr
Ste D210
Monterey, CA 93940
Phone (831) 649-7750

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew M Morgan Individual Corporate OfficerVice President / Cfo May 6, 2019
W-2 Managing EmployeeVice President / Cfo Sep 1, 2014
Ryan Edwards Individual Corporate DirectorBoard of Trustee Member Jan 1, 2023
Steven Cabrales Individual W-2 Managing EmployeeVice President Oct 21, 2014
Randall Charles Individual Corporate DirectorBoard of Trustee Member Jan 1, 2019
Margorie Wiest Individual Corporate DirectorBoard of Trustee Member Jan 1, 2023
Casey Andrew Grover Individual Corporate DirectorBoard of Trustee Member Jan 1, 2023
Daniel Chibaya Individual W-2 Managing EmployeeVP/Coo May 16, 2022
Susan D Swick Individual Corporate OfficerVP/Cmho Jul 1, 2022
W-2 Managing EmployeeVP/Cmho Jul 1, 2022
Greg Smorzewski Individual Corporate OfficerVP/Chro Jul 1, 2022
W-2 Managing EmployeeVP/Chro Jul 1, 2022
Geneva T Stewart Individual W-2 Managing Employee Mar 7, 2022
Martha L Blum Individual Corporate DirectorBoard of Trustee Member Jan 1, 2022
Montage Health Organization, Monterey, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 17, 2021 100%
Carrie McIntyer Panetta Individual Corporate DirectorBoard of Trustee Jan 1, 2020
Marian Hahn Individual Corporate DirectorBoard of Trustee Jan 1, 2021
William Warner Individual Corporate DirectorBoard of Trustee Member Jan 1, 2016
Luis Alvarez Individual Corporate DirectorBoard of Trustee Member Jan 1, 2022
Patrick Burke Individual Corporate DirectorBoard of Trustee Jan 1, 2021
Edgar Stanton McKee Individual Corporate DirectorBoard of Trustee Member Jan 1, 2016
Kiran Kamath Individual Corporate DirectorMedical Director Jan 1, 2022
James Cummings Individual Corporate DirectorBoard of Trustee Member Jan 1, 2024
John O'Brien Individual Corporate DirectorBoard of Trustee Member Jan 1, 2016
Deborah Sober Individual W-2 Managing EmployeeAd;Vice President Nov 1, 2018
Leslie Higgins Individual Corporate DirectorBoard of Trustee Member Jan 1, 2024
Kevin Mahoney Individual Corporate DirectorBoard of Trustee Member Jan 1, 2024
Steven J Packer Individual Corporate DirectorDesignated Board of Trustee Mem. Feb 1, 2009
W-2 Managing EmployeePresident / Ceo Jan 1, 2010

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westland HouseMonterey, CA, CCN 555143 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 16, 1997
Jan 27, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1508854423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX HH",
            "address_2": "BUSINESS DEVELOPMENT & CONTRACTING",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939426032",
            "telephone_number": "831-658-3977",
            "fax_number": "831-658-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR",
            "address_2": "STE D210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407850",
            "telephone_number": "831-649-7750",
            "fax_number": "831-649-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VICE-PRESIDENT, CFO",
        "authorized_official_telephone_number": "831-625-4965"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "0700000395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01501G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of the Central Coast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice of the Central Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.