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Organization Active NPI

Dignity Health

Doing business as Dignity Health Hospice

  • Community Based Hospice Care Agency
  • Santa Maria, CA
National Provider Identifier
1821134040
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
070000712 Issued in CA
Legal business name
DIGNITY HEALTH
Doing business as
Dignity Health Hospice
Practice address
124 S College Dr
Santa Maria, CA 93454-5325
Phone
(805) 739-3830
Fax
(805) 739-3829
NPI assigned
Jan 29, 2007
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Sue Andersen
Title
Chief Financial Officer
Phone
(805) 739-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 070000712 CA Primary

Addresses

Primary practice location

124 S College Dr
Santa Maria, CA 93454-5325

Mailing address

124 S College Dr
Santa Maria, CA 93454-5325
Phone (805) 739-3830

Other names 1

  • Dignity Health Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000370 CA Part A Provider - Hospice 2062320559 Practice locations: Atascadero, CA; Santa Maria, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821134040. Details of each certification follow.

Hospice certification: CCN 051592

Legal name
DIGNITY HEALTH
Doing business as
DIGNITY HEALTH HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 10, 1992
Last certification
Jun 28, 2018
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Oct 11, 1954 in CA
Enrollment address
124 S College Dr
Santa Maria, CA 93454-5325

Care Compare: Hospice

Medicare Care Compare
Listed as
Dignity Health HospiceCCN 051592 · All quality measures
Ownership
Other
Certified
Sep 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Ctr74 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

124 S College Dr
Santa Maria, CA 93454
Phone (805) 739-3828

124 S College Dr
Ste B
Santa Maria, CA 93454

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Kathleen Sullivan Individual W-2 Managing EmployeeVice President Dec 31, 2014 100%
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2019 100%
Scott Carswell Individual Corporate DirectorDirector Jan 27, 2021
Dignity Health Organization, San Francisco, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 17, 2008 100%
Daniel Morissette Individual Corporate OfficerSr. Ex. VP/Cfo Feb 8, 2016
Consolidated Health Services LLC Organization, Milford, OH Corporation, Management services company, For-profit Operational/Managerial Control May 15, 2022
Mitch Melfi Individual Corporate OfficerVice Chair, Director Jan 27, 2021
Corporate DirectorVice Chair, Director Jan 27, 2021
Steven W Scharmann Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
W-2 Managing EmployeeVice President, Finance and Rev Cyc Feb 1, 2019
John E Petersdorf Individual Corporate OfficerAdministrator of Payor Programs Nov 14, 2022
W-2 Managing EmployeeSVP/Operations Finance Feb 1, 2019

All facility ownership & control disclosures 86

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arizona Spine and Joint Hospital LLCMesa, AZ, CCN 030107 Hospital 5% Or Greater Indirect Ownership Interest Jul 1, 2015
St. Rose Dominican Hospital-Rose de Lima CampusHenderson, NV, CCN 290012 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 30, 1988
St. Rose Dominican Hospital - Siena CampusHenderson, NV, CCN 290045 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 18, 2000
Mercy Hospital - BakersfieldBakersfield, CA, CCN 050295 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2001
Arizona Specialty HospitalPhoenix, AZ, CCN 030112 Hospital 5% Or Greater Indirect Ownership Interest (35%) Feb 1, 2003
Yavapai Regional Medical CenterPrescott, AZ, CCN 030012 Hospital Other Feb 1, 2019
Bakersfield Memorial HospitalBakersfield, CA, CCN 050036 Hospital Other Feb 1, 2019
St Rose Dominican Hospitals - San Martin CampusLas Vegas, NV, CCN 290053 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 6, 2006
Feb 1, 2019
Mercy Hospital of FolsomFolsom, CA, CCN 050414 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1986
Mercy San Juan Medical CenterCarmichael, CA, CCN 050516 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1986
Mercy General HospitalSacramento, CA, CCN 050017 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 28, 2007
Sep 28, 2007
Phoenix Children's HospitalPhoenix, AZ, CCN 033302 Hospital 5% Or Greater Direct Ownership Interest (20%) Mar 25, 2011
Mercy Medical Center Mt ShastaMount Shasta, CA, CCN 051319 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1986
Mercy Medical CenterMerced, CA, CCN 050444 Hospital 5% Or Greater Direct Ownership Interest (100%) May 30, 1996
St Bernardine Medical CenterSan Bernardino, CA, CCN 050129 Hospital 5% Or Greater Direct Ownership Interest (100%) May 21, 2007
St. Joseph's Hospital and Medical CenterPhoenix, AZ, CCN 03T024 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 5, 2007
St Joseph's Hospital and Medical CenterPhoenix, AZ, CCN 030024 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1986
St. John's Hospital CamarilloOxnard, CA, CCN 050082 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 23, 2007
St Johns Regional Medical CenterOxnard, CA, CCN 05T082 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1986
Dominican HospitalSanta Cruz, CA, CCN 050242 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 2, 2007
Nov 2, 2007
Dominican HospitalSanta Cruz, CA, CCN 05T242 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 2007
Sierra Nevada Memorial HospitalGrass Valley, CA, CCN 050150 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 20, 1996
Mercy Medical Center ReddingRedding, CA, CCN 050280 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 23, 2007
Nov 23, 2007
UCSF Health Community HospitalsSan Francisco, CA, CCN 050152 Hospital Operational/Managerial Control Feb 1, 2019
Marian Regional Medical CenterSanta Maria, CA, CCN 050107 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 17, 2007
Dec 17, 2007
St. Elizabeth Community HospitalRed Bluff, CA, CCN 050042 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 1995
Feb 1, 2019
St. Elizabeth Community HospitalRed Bluff, CA, CCN 05U042 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 19, 2008
Mar 19, 2008
Mercy Gilbert Medical CenterGilbert, AZ, CCN 030119 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 5, 2006
Feb 1, 2019
Mark Twain Medical CenterSan Andreas, CA, CCN 051332 Hospital Other Jun 1, 2000
Mercy General HospitalSacramento, CA, CCN 05T017 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 12, 1986
Community Hospital of San BernardinoSan Bernardino, CA, CCN 050089 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 13, 1998
St Mary Medical CenterLong Beach, CA, CCN 050191 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 30, 1996
May 30, 1996
San Bernardino Community HospitalSan Bernardino, CA, CCN 05S089 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 13, 1998
Mercy Medical Center Mt Shasta SwingMount Shasta, CA, CCN 05Z319 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 12, 1986
Feb 1, 2019
St. Mary Medical CenterLong Beach, CA, CCN 05T191 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2001
Marian Regional Medical Center, Arroyo GrandeArroyo Grande, CA, CCN 05T107 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 17, 2007
Dec 17, 2007
Dignity Health Arizona General HospitalLaveen, AZ, CCN 030136 Hospital Other Feb 1, 2019
St Josephs Behavioral Health CenterStockton, CA, CCN 054123 Hospital 5% Or Greater Direct Ownership Interest (80%)
Operational/Managerial Control (80%)		 May 1, 2016
May 1, 2016
St Josephs Medical Center of StocktonStockton, CA, CCN 050084 Hospital 5% Or Greater Indirect Ownership Interest (80%) Jun 1, 2016
Dignity Health East Valley Rehabilitation HospitalChandler, AZ, CCN 033040 Hospital 5% Or Greater Direct Ownership Interest (40%) Apr 29, 2015
Dignity Health Arizona General HospitalMesa, AZ, CCN 030139 Hospital Other Feb 1, 2019
Dignity Health St Rose Dominican North Las Vegas CampusNorth Las Vegas, NV, CCN 290058 Hospital 5% Or Greater Indirect Ownership Interest (51%) May 5, 2016
Mark Twain Medical CenterSan Andreas, CA, CCN 05Z332 Hospital Operational/Managerial Control
Other		 Feb 1, 2019
Feb 1, 2019
Woodland Memorial HospitalWoodland, CA, CCN 05S127 Hospital Other Feb 1, 2019
French Hospital Medical CenterSan Luis Obispo, CA, CCN 050232 Hospital Other Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 050058 Hospital Other Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05T058 Hospital Other Feb 1, 2019
Glendale Memorial Hospital and Health CenterGlendale, CA, CCN 05S058 Hospital Operational/Managerial Control (100%) Feb 1, 2019
Chandler Regional Medical CenterChandler, AZ, CCN 030036 Hospital Other Feb 1, 2019
Sequoia HospitalRedwood City, CA, CCN 050197 Hospital Other Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 050116 Hospital Other Feb 1, 2019
Northridge Hospital Medical CenterNorthridge, CA, CCN 05T116 Hospital Other Feb 1, 2019
California Hospital Medical CenterLos Angeles, CA, CCN 050149 Hospital Operational/Managerial Control (50%) Feb 1, 2019
Methodist Hospital of SacramentoSacramento, CA, CCN 050590 Hospital Other Feb 1, 2019
Woodland Memorial HospitalWoodland, CA, CCN 050127 Hospital Other Feb 1, 2019
Dignity Health Rehabilitation HospitalHenderson, NV, CCN 293035 Hospital 5% Or Greater Direct Ownership Interest (49%) Apr 23, 2019
Dignity Health East Valley Rehabilitation Hospital-GilbertGilbert, AZ, CCN 033044 Hospital 5% Or Greater Direct Ownership Interest (40%) Dec 6, 2022
St. John¿S Hospital Camarillo DP/SNFCamarillo, CA, CCN 555223 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 19, 1993
Marian Regional Medical CenterSanta Maria, CA, CCN 555236 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2001
Community Hospital of San BernardinoSan Bernardino, CA, CCN 555522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 13, 1998
Community Convalescent Center of San BernardinoSan Bernardino, CA, CCN 056107 Skilled nursing facility Other Feb 1, 2019
Methodist Hospital of Sacramento - Bruceville TerraceSacramento, CA, CCN 555344 Skilled nursing facility Other Feb 1, 2019
Mercy Home HealthRancho Cordova, CA, CCN 057631 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
Mercy Home CareMerced, CA, CCN 557523 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2001
Dignity Health Home HealthSanta Maria, CA, CCN 557038 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2001
Mercy Memorial Home HealthBakersfield, CA, CCN 057704 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 24, 2008
Mercy Home CareRedding, CA, CCN 057609 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 17, 2012
St. Elizabeth Community Hospital HHARed Bluff, CA, CCN 057205 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1995
St Josephs Medical Center Home HealthStockton, CA, CCN 057212 Home health agency 5% Or Greater Indirect Ownership Interest (80%) Jun 1, 2016
Dignity Health at Home, LLCChandler, AZ, CCN 037281 Home health agency 5% Or Greater Direct Ownership Interest (50%) Oct 29, 2018
Woodland Healthcare Home HealthWoodland, CA, CCN 057274 Home health agency Other Feb 1, 2019
Mercy HospiceRancho Cordova, CA, CCN 051600 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 18, 2008
Mercy Hospice - Mt. ShastaMount Shasta, CA, CCN 051736 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2000
Mercy HospiceRedding, CA, CCN 051645 Hospice 5% Or Greater Direct Ownership Interest (100%) Mar 1, 1995
Family Care ClinicMerced, CA, CCN 053975 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 30, 1996
Jun 12, 2007
Family Medical Center - San AndreasSan Andreas, CA, CCN 058940 Rural health clinic Other Jun 1, 2000
Mercy Medical Center Mt ShastaMount Shasta, CA, CCN 058650 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 31, 2010
Feb 1, 2019
James Dalton Medical OfficeAngels Camp, CA, CCN 058574 Rural health clinic Other Jun 1, 2000
Family Medical Center - ArnoldArnold, CA, CCN 058573 Rural health clinic Other Jun 1, 2000
Family Medical Center-CopperopolisCopperopolis, CA, CCN 058548 Rural health clinic Other Jun 1, 2000
Mercy Medical Center Mt ShastaWeed, CA, CCN 058662 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 12, 1986
Feb 1, 2019
Mercy Medical Center Mt. ShastaMount Shasta, CA, CCN 058674 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 31, 2001
Feb 1, 2019
Dignity Health Solano Street Medical ClinicCorning, CA, CCN 058693 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 31, 2001
Dec 31, 2001
Dignity Health Lassen Medical Clinic - CottonwoodCottonwood, CA, CCN 058703 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 31, 2001
Dec 31, 2001
Dignity Health Lassen Medical Clinic - Red BluffRed Bluff, CA, CCN 058704 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 31, 2001
Dec 31, 2001
Dignity Health Women's Health ServicesRed Bluff, CA, CCN 058708 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 31, 2001
Apr 23, 2017

Facilities with the same owner 87

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 87

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1821134040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S COLLEGE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545325",
            "telephone_number": "805-739-3830",
            "fax_number": "805-739-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S COLLEGE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545325",
            "telephone_number": "805-739-3830",
            "fax_number": "805-739-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-739-3110"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "070000712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.