Dignity Health
Organization Active NPI Community Based Hospice Care Agency · Santa Maria, CA
NPI 1821134040 · NPPES record last updated Nov 19, 2015
Key facts
- NPI
- 1821134040
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 070000712 (CA)
- Legal business name
- DIGNITY HEALTH
- Practice address
- 124 S College Dr
Santa Maria, CA 93454-5325 - Phone
- (805) 739-3830
- Fax
- (805) 739-3829
- NPI assigned
- Jan 29, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- DIGNITY HEALTH
Authorized official
- Name
- Sue Andersen
- Title
- Chief Financial Officer
- Phone
- (805) 739-3110
Corporate family (same tax ID) 19
Facilities with the same owner 87
Affiliated clinicians 1
-
John Campbell, MD
Medicare Care Compare: Hospice
- Listed as
- Dignity Health Hospice
- Ownership
- Other
- Certified
- Sep 10, 1992
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Non-profit
- Incorporated
- Oct 11, 1954 in CA
- Enrollment address
- 124 S College Dr
Santa Maria, CA 93454-5325
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Kathleen Sullivan |
W-2 Managing Employee |
Dec 31, 2014 | 100% |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Feb 1, 2019 | 100% |
| Scott Carswell |
Corporate Director |
Jan 27, 2021 | |
| Dignity Health |
5% Or Greater Direct Ownership Interest | Mar 17, 2008 | 100% |
| Daniel Morissette |
Corporate Officer |
Feb 8, 2016 | |
| Consolidated Health Services LLC |
Operational/Managerial Control | May 15, 2022 | |
| Mitch Melfi |
Corporate Officer |
Jan 27, 2021 | |
| Corporate Director |
Jan 27, 2021 | ||
| Steven W Scharmann |
Corporate Officer |
Nov 14, 2022 | |
| W-2 Managing Employee |
Feb 1, 2019 | ||
| John E Petersdorf |
Corporate Officer |
Nov 14, 2022 | |
| W-2 Managing Employee |
Feb 1, 2019 |
All facility ownership & control disclosures 86
| Facility | Type | Role | Since |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC |
Hospital | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 |
| St. Rose Dominican Hospital-Rose de Lima Campus |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 30, 1988 |
| St. Rose Dominican Hospital - Siena Campus |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 18, 2000 |
| Mercy Hospital - Bakersfield |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Arizona Specialty Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (35%) | Feb 1, 2003 |
| Yavapai Regional Medical Center |
Hospital | Other | Feb 1, 2019 |
| Bakersfield Memorial Hospital |
Hospital | Other | Feb 1, 2019 |
| St Rose Dominican Hospitals - San Martin Campus |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 6, 2006 Feb 1, 2019 |
| Mercy Hospital of Folsom |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy San Juan Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 28, 2007 Sep 28, 2007 |
| Phoenix Children'S Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (20%) | Mar 25, 2011 |
| Mercy Medical Center Mt Shasta |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 30, 1996 |
| St Bernardine Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 21, 2007 |
| St. Joseph'S Hospital and Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 5, 2007 |
| St Joseph'S Hospital and Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| St. John'S Hospital Camarillo |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 23, 2007 |
| St Johns Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Dominican Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 2, 2007 Nov 2, 2007 |
| Dominican Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 2, 2007 |
| Sierra Nevada Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 1996 |
| Mercy Medical Center Redding |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 23, 2007 Nov 23, 2007 |
| UCSF Health Community Hospitals |
Hospital | Operational/Managerial Control | Feb 1, 2019 |
| Marian Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| St. Elizabeth Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 1, 1995 Feb 1, 2019 |
| St. Elizabeth Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 19, 2008 Mar 19, 2008 |
| Mercy Gilbert Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 5, 2006 Feb 1, 2019 |
| Mark Twain Medical Center |
Hospital | Other | Jun 1, 2000 |
| Mercy General Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Community Hospital of San Bernardino |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| St Mary Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 30, 1996 May 30, 1996 |
| San Bernardino Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Mercy Medical Center Mt Shasta Swing |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| St. Mary Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Marian Regional Medical Center, Arroyo Grande |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| Dignity Health Arizona General Hospital |
Hospital | Other | Feb 1, 2019 |
| St Josephs Behavioral Health Center |
Hospital | 5% Or Greater Direct Ownership Interest (80%) Operational/Managerial Control (80%) |
May 1, 2016 May 1, 2016 |
| St Josephs Medical Center of Stockton |
Hospital | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health East Valley Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (40%) | Apr 29, 2015 |
| Dignity Health Arizona General Hospital |
Hospital | Other | Feb 1, 2019 |
| Dignity Health St Rose Dominican North Las Vegas Campus |
Hospital | 5% Or Greater Indirect Ownership Interest (51%) | May 5, 2016 |
| Mark Twain Medical Center |
Hospital | Operational/Managerial Control Other |
Feb 1, 2019 Feb 1, 2019 |
| Woodland Memorial Hospital |
Hospital | Other | Feb 1, 2019 |
| French Hospital Medical Center |
Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center |
Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center |
Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center |
Hospital | Operational/Managerial Control (100%) | Feb 1, 2019 |
| Chandler Regional Medical Center |
Hospital | Other | Feb 1, 2019 |
| Sequoia Hospital |
Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center |
Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center |
Hospital | Other | Feb 1, 2019 |
| California Hospital Medical Center |
Hospital | Operational/Managerial Control (50%) | Feb 1, 2019 |
| Methodist Hospital of Sacramento |
Hospital | Other | Feb 1, 2019 |
| Woodland Memorial Hospital |
Hospital | Other | Feb 1, 2019 |
| Dignity Health Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Apr 23, 2019 |
| Dignity Health East Valley Rehabilitation Hospital-Gilbert |
Hospital | 5% Or Greater Direct Ownership Interest (40%) | Dec 6, 2022 |
| St. John¿S Hospital Camarillo DP/SNF |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 19, 1993 |
| Marian Regional Medical Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Community Hospital of San Bernardino |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Community Convalescent Center of San Bernardino |
Skilled nursing facility | Other | Feb 1, 2019 |
| Methodist Hospital of Sacramento - Bruceville Terrace |
Skilled nursing facility | Other | Feb 1, 2019 |
| Mercy Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Mercy Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Dignity Health Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Mercy Memorial Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 24, 2008 |
| Mercy Home Care |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 17, 2012 |
| St. Elizabeth Community Hospital HHA |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| St Josephs Medical Center Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health at Home, LLC |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Oct 29, 2018 |
| Woodland Healthcare Home Health |
Home health agency | Other | Feb 1, 2019 |
| Mercy Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 18, 2008 |
| Mercy Hospice - Mt. Shasta |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2000 |
| Mercy Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| Family Care Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 30, 1996 Jun 12, 2007 |
| Family Medical Center - San Andreas |
Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 31, 2010 Feb 1, 2019 |
| James Dalton Medical Office |
Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center - Arnold |
Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center-Copperopolis |
Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| Mercy Medical Center Mt. Shasta |
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 Clinic |
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 - Cottonwood |
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 Bluff |
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 Services |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Apr 23, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080319000370 | CA | Part a Provider - Hospice | 2062320559 | Practice locations: Atascadero, CA; Santa Maria, CA |
National Provider Directory
- Tax ID family
- Catholic Healthcare West
- Part of
- Catholic Healthcare West
Locations
124 S College Dr
Ste B
Santa Maria, CA 93454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 070000712 | CA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651190935934540003 | Other | TRI WEST | |
| HPC01592H | Medicaid | CA | |
| 651190935 | Other | IRS | |
| ZZZ307272 | Other | CA | BLUE SHIELD |
Other names
- Dignity Health Hospice
Other providers in Santa Maria, CA
- Dignity Health
- Dignity Health
- Dignity Health
- Dignity Health
- Dignity Health
- Dignity Health
- Dillard Dialysis LLC
- Melessa Jean Dillingham
- Keith Oliver Dillon
- Adrienne Caroline Dingler
All providers in Santa Maria, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.