St Dominic Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST DOMINIC HOSPICE AND PALLIATIVE CARE INC

Practice address

27247 Madison Ave Ste 102
Temecula, CA 92590-5674

Phone

(909) 641-3016

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Dante Bautista

Title

Owner/Ceo

Phone

(909) 641-3016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1619557220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27247 MADISON AVE STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905674",
            "telephone_number": "909-641-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27247 MADISON AVE STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905674",
            "telephone_number": "909-641-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST DOMINIC HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-641-3016"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Ann Springer, NCSP
• Kristen Danielle Springsteen, LMFT
• Tahjae Jewel Donyette Spruill
• Srey Pediatrics Medical Group PC
• Rothtida Srey, D.O.
• Crystal Elizabeth St John, STUDENT
• Teresa Stafford
• Tyler Stafford
• Elaine Helen Stahlhofen, M.S.
• Rebecca Stalling, LMFT

• Community Based Hospice Care Agency in Temecula, CA
• Providers in Temecula, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.