NPIMap

Organization Active NPI

Direct Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Dublin, CA
National Provider Identifier
1740845346
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIRECT HOSPICE CARE, INC.
Practice address
11700 Dublin Blvd Ste 100
Dublin, CA 94568-2824
Phone
(925) 364-7342
Fax
(669) 500-7411
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mr. Benjamin Art
Title
Ceo
Phone
(669) 400-1137

Specialties & licenses 1

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

Addresses

Primary practice location

11700 Dublin Blvd Ste 100
Dublin, CA 94568-2824

Mailing address

4701 Patrick Henry Dr Ste M
Santa Clara, CA 95054-1819
Phone (669) 400-1137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191209001707 CA Part A Provider - Hospice 5294168043 Practice locations: Dublin, CA

Hospice certification: CCN A11729

Legal name
DIRECT HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 8, 2021
Last certification
Jan 8, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2018 in CA
Enrollment address
11700 Dublin Blvd
Ste 100
Dublin, CA 94568-2824

Care Compare: Hospice

Medicare Care Compare
Listed as
Direct Hospice Care, IncCCN A11729
Ownership
For-Profit
Certified
Jan 8, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4701 Patrick Henry Dr
Bldg 6
Santa Clara, CA 95054
Phone (669) 400-1137

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Irenee T Paule Individual 5% Or Greater Direct Ownership Interest Mar 28, 2022 100%
Corporate OfficerCeo Cfo Secretary Mar 28, 2022
Corporate Director Mar 28, 2022
W-2 Managing Employee Mar 28, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1740845346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 PATRICK HENRY DR STE M",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541819",
            "telephone_number": "669-400-1137",
            "fax_number": "669-500-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 DUBLIN BLVD STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682824",
            "telephone_number": "925-364-7342",
            "fax_number": "669-500-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "ART",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "669-400-1137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.