Oceanside Healthcare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OCEANSIDE HEALTHCARE, INC.

Doing business as

Seaport Hospice

Practice address

5473 Kearny Villa Rd Ste 110a
San Diego, CA 92123

Phone

(858) 634-5870

Fax

(858) 634-5888

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Elliot McMillan

Title

Secretary

Phone

(208) 401-1359

Specialties & licenses 1

Addresses

Other names 1

• Seaport Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Black Mountain Healthcare LLC

  dba Seaport Hospice

  • Community Based Hospice Care Agency
  • Encinitas, CA
  • NPI 1336764521

  Sold to, 2020-10-01

  CMS change of ownership

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1841696614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 KEARNY VILLA RD STE 110A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231160",
            "telephone_number": "858-634-5870",
            "fax_number": "858-634-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 KEARNY VILLA RD STE 110A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-634-5870",
            "fax_number": "858-634-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Gillespie Way",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920200917",
            "country_code": "US",
            "telephone_number": "619-434-8360",
            "fax_number": "619-312-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEANSIDE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-401-1359"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaport Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seaport Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ocean Beach Medical Group
• Ocean Beach Speech
• Ocean Breeze Hospice, Inc.
• Ocean Pacific Companies, LLC (Ocean Pacific Gym and Wellness, LLC)
• Oceanside Healthcare, Inc. (Seaport Home Health)
• Joshua Ocegueda, MD
• Yazmin Oceguera
• Noelle Ocen-Odoge
• Daniela Ochieng
• Gabrielle Ochieng

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.