Vida Hospice Services Southern Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIDA HOSPICE SERVICES SOUTHERN INC

Practice address

95 E San Ysidro Blvd Ste B
San Ysidro, CA 92173-2616

Phone

(947) 602-3265

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daisy Silva

Title

Administrator

Phone

(847) 602-3265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1679170245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E SAN YSIDRO BLVD STE B",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E SAN YSIDRO BLVD STE B",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732616",
            "telephone_number": "947-602-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOSPICE SERVICES SOUTHERN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-602-3265"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahid Valencia
• Lorena Vasquez, HE
• Hanna Vazquez
• Sandra Vega, DDS
• Karina Victorino, LCSW
• Denise Villezcas, MS
• Laura Viramontes
• Charles Elmer Walker, LMFT
• Nicholas Ryan Whitley, MD
• Tom Ellis Williams, MD

• Community Based Hospice Care Agency in San Ysidro, CA
• Providers in San Ysidro, 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 Oct 6, 2020; 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.