NPIMap

Organization Active NPI

Crown Point Healthcare LLC

  • Community Based Hospice Care Agency
  • Carlsbad, CA
National Provider Identifier
1851967368
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CROWN POINT HEALTHCARE LLC
Practice address
5355 Avenida Encinas Ste 207
Carlsbad, CA 92008-4360
Phone
(858) 952-1786
NPI assigned
Jun 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

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

Addresses

Primary practice location

5355 Avenida Encinas Ste 207
Carlsbad, CA 92008-4360

Mailing address

5355 Avenida Encinas Ste 207
Carlsbad, CA 92008-4360
Phone (858) 952-1786

Other names 1

  • Ardent Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914001015 CA Part A Provider - Hospice 3971988833 Practice locations: Carlsbad, CA

Hospice certification: CCN 551767

Legal name
CROWN POINT HEALTHCARE LLC
Doing business as
ARDENT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 28, 2013
Last certification
Sep 25, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 10, 2021 in NV
Enrollment address
5411 Avenida Encinas
Ste 260
Carlsbad, CA 92008-4380

Care Compare: Hospice

Medicare Care Compare
Listed as
Ardent HospiceCCN 551767
Ownership
For-Profit
Certified
Nov 28, 2013
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2056117Crown Point Healthcare LLC Dba5411 Avenida Encinas Ste 260, Carlsbad, CA 92008Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Locations

5355 Avenida Encinas
Ste 207
Carlsbad, CA 92008

5411 Avenida Encinas
Ste 260
Carlsbad, CA 92008
Phone (858) 952-1786

662 Encinitas Blvd
Ste 201A
Encinitas, CA 92024
Phone (858) 952-1786

16486 Bernardo Center Dr
Ste 348
San Diego, CA 92128
Phone (858) 217-6490

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
Timothy Johnson Individual W-2 Managing EmployeeAd; Jan 1, 2024
Sam Baroudi Individual W-2 Managing EmployeeMD; Sep 1, 2022
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 16, 2022 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector and Sole Board Member Aug 1, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 16, 2022 100%
John J Gochnour Individual Corporate OfficerPresident / LLC Manager Apr 10, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Apr 10, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 141

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

View all 141

Change-of-ownership history 1

DateEventCounterparty
Aug 16, 2022 Change of OwnershipThis provider was the buyer Ardent Hospice & Palliative Care, Inc.CCN 551767, CA, NPI 1558611228

Change of ownership 1

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

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": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1851967368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 AVENIDA ENCINAS STE 207",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084360",
            "telephone_number": "858-952-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 AVENIDA ENCINAS STE 207",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084360",
            "telephone_number": "858-952-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN POINT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardent Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.