Organization Active NPI

Circle of Care Hospice LLC

  • Community Based Hospice Care Agency
  • Escondido, CA
National Provider Identifier
1720604606
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CIRCLE OF CARE HOSPICE LLC
Practice address
350 W 9TH Ave Ste 205
Escondido, CA 92025-5053
Phone
(619) 780-5469
Fax
(619) 780-5659
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Charmaine Ramos, OWNER
Title
Owner
Phone
(909) 576-8889

Specialties & licenses 1

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

Addresses

Primary practice location

350 W 9TH Ave Ste 205
Escondido, CA 92025-5053

Mailing address

350 W 9TH Ave Ste 205
Escondido, CA 92025-5053
Phone (619) 780-5469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831000449 CA Part A Provider - Hospice 0446677983 Practice locations: Escondido, CA

Hospice certification: CCN A11732

Legal name
CIRCLE OF CARE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 10, 2021
Last certification
Feb 10, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
May 21, 2020 in CA
Enrollment address
350 W 9TH Ave
Ste 205
Escondido, CA 92025-5053

Care Compare: Hospice

Medicare Care Compare
Listed as
Palomar Health Palliative & Hospice CareCCN A11732
Ownership
Other
Certified
Feb 10, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

350 W 9th Ave
Ste 205
Escondido, CA 92025
Phone (619) 780-5469

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Dante Bautista Individual W-2 Managing EmployeeOffice Manager May 21, 2020
Charmaine Ramos Individual 5% Or Greater Direct Ownership InterestCeo May 21, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1720604606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 9TH AVE STE 205",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255053",
            "telephone_number": "619-780-5469",
            "fax_number": "619-780-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 9TH AVE STE 205",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255053",
            "telephone_number": "619-780-5469",
            "fax_number": "619-780-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-576-8889",
        "authorized_official_credential": "OWNER"
    },
    "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

Verify at the official NPI Registry.