Active NPI
Golden Age Hospice and Palliative Care LLC
- Community Based Hospice Care Agency
- Escondido, CA
National Provider Identifier
1629741038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Escondido, CA
- NPI 1669147427
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.