NPIMap

Organization Active NPI

Mission Hospice & Home Care Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Mateo, CA
National Provider Identifier
1831772359
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
MISSION HOSPICE & HOME CARE INC.
Doing business as
Mission Hospice & Home Care, Inc.
Practice address
66 Bovet Rd Ste 100
San Mateo, CA 94402-3126
Phone
(650) 554-1000
Fax
(650) 554-1001
NPI assigned
May 3, 2021
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Mrs. Robertina Szolarova, RN
Title
Chief Administrative Officer
Phone
(650) 554-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

66 Bovet Rd Ste 100
San Mateo, CA 94402-3126

Mailing address

66 Bovet Rd Ste 100
San Mateo, CA 94402-3126
Phone (650) 554-1000

Other identifiers 2

IdentifierTypeStateIssuer
051665MedicaidCA
CA502834MedicaidCA

Other names 1

  • Mission Hospice & Home Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210820002970 CA Part B Supplier - Home Infusion Therapy Supplier 5698749109 Practice locations: San Mateo, CA
O20211028001003 CA Part B Supplier - Clinic/Group Practice 5698749109 Receives reassigned benefits from 7 practitioners
Practice locations: San Mateo, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mission Hospice Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 W 20th Ave
San Mateo, CA 94403
Phone (650) 206-9468

1900 Ofarrell St
Ste 200
San Mateo, CA 94403
Phone (650) 554-1000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1831772359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOVET RD STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126",
            "telephone_number": "650-554-1000",
            "fax_number": "650-554-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOVET RD STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126",
            "telephone_number": "650-554-1000",
            "fax_number": "650-554-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE & HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "SZOLAROVA",
        "authorized_official_first_name": "ROBERTINA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "650-554-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051665",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA502834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hospice & Home Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.