Organization Active NPI

Alternative Hospice Care Inc.

  • Community Based Hospice Care Agency
  • San Marcos, CA
National Provider Identifier
1861097388
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALTERNATIVE HOSPICE CARE INC.
Practice address
330 Rancheros Dr Ste 208C
San Marcos, CA 92069-2978
Phone
(310) 328-8227
NPI assigned
Dec 2, 2020
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Gideon Abraham III, RN
Title
Ceo/Cfo/Secretary
Phone
(310) 328-8227

Specialties & licenses 1

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

Addresses

Primary practice location

330 Rancheros Dr Ste 208C
San Marcos, CA 92069-2978

Mailing address

330 Rancheros Dr Ste 208C
San Marcos, CA 92069-2978
Phone (310) 328-8227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220922002609 CA Part A Provider - Hospice 0345653572 Practice locations: Torrance, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861097388. Details of each certification follow.

Hospice certification: CCN B41663

Legal name
ALTERNATIVE HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 15, 2022
Last certification
Sep 15, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 10, 2020 in CA
Enrollment address
21151 S Western Ave
Ste 240
Torrance, CA 90501-1724

Care Compare: Hospice

Medicare Care Compare
Listed as
Alternative Hospice Care Inc.CCN B41663 · All quality measures
Certified
Sep 15, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

330 Rancheros Dr
Ste 208C
San Marcos, CA 92069
Phone (310) 328-8227

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Gideon Abraham Individual 5% Or Greater Direct Ownership InterestCeo Dec 2, 2022 100%
Corporate OfficerCeo Dec 2, 2022 100%
Corporate DirectorCeo Dec 2, 2022 100%
Operational/Managerial ControlCeo Dec 2, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1861097388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RANCHEROS DR STE 208C",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692978",
            "telephone_number": "310-328-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RANCHEROS DR STE 208C",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692978",
            "telephone_number": "310-328-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM III",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "310-328-8227",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.