Organization Active NPI

Golden Age Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Escondido, CA
National Provider Identifier
1629741038
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN AGE HOSPICE AND PALLIATIVE CARE LLC
Practice address
725 N Quince St Ste 203
Escondido, CA 92025-1680
Phone
(800) 921-6255
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Marjan Mirbod
Title
Ceo
Phone
(800) 921-6255

Specialties & licenses 1

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

Addresses

Primary practice location

725 N Quince St Ste 203
Escondido, CA 92025-1680

Mailing address

725 N Quince St Ste 203
Escondido, CA 92025-1680
Phone (800) 921-6255

National Provider Directory

National Provider Directory
Tax ID family
Atlas Hospice and Palliative Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

725 N Quince St
Ste 203
Escondido, CA 92025
Phone (800) 921-6255

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1629741038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N QUINCE ST STE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251680",
            "telephone_number": "800-921-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N QUINCE ST STE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251680",
            "telephone_number": "800-921-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "MIRBOD",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-921-6255"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.