Centric Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CENTRIC CARE HOSPICE, INC.

Practice address

13405 Folsom Blvd Ste 504
Folsom, CA 95630-4739

Phone

(916) 603-3550

Fax

(916) 603-3430

NPI assigned

Aug 3, 2020

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ketan Patel

Title

Secretory

Phone

(805) 728-0584

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881204055. Details of each certification follow.

• CCN B31756 Hospice · Active · Details

Hospice certification: CCN B31756

Legal name

CENTRIC CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 26, 2021

Last certification

Dec 26, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 10, 2020 in CA

Enrollment address

13405 Folsom Blvd
Ste 504
Folsom, CA 95630-4739

Listed as

Centric Care Hospice, IncCCN B31756 · All quality measures

Certified

Dec 26, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Renee Snelling Gilpen, MD

  • Emergency Medicine Physician
  • Lodi, CA
  • NPI 1780606921

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1881204055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD STE 504",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304739",
            "telephone_number": "916-603-3550",
            "fax_number": "916-603-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD STE 504",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304739",
            "telephone_number": "916-603-3550",
            "fax_number": "916-603-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIC CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "SECRETORY",
        "authorized_official_telephone_number": "805-728-0584"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Folsom, CA
• Providers in Folsom, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.