Elite Hospice and Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ELITE HOSPICE AND PALLIATIVE CARE LLC

Practice address

106 S Grape St Ste 2
Escondido, CA 92025-4407

Phone

(480) 217-2034

Fax

(858) 726-8977

NPI assigned

Jul 1, 2020

Last updated

Feb 15, 2024By 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

Hamid R Mirbod

Title

Ceo

Phone

(480) 217-2034

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 1912524356. Details of each certification follow.

• CCN B31779 Hospice · Active · Details

Hospice certification: CCN B31779

Legal name

ELITE HOSPICE AND PALLIATIVE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 28, 2021

Last certification

Oct 21, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jun 23, 2020 in CA

Enrollment address

106 S Grape St
Ste 2
Escondido, CA 92025-4407

Listed as

Elite Hospice and Palliative Care LLCCCN B31779 · All quality measures

Certified

Oct 28, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Aboo Nasar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1871533380

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1912524356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S GRAPE ST STE 2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254407",
            "telephone_number": "602-790-3300",
            "fax_number": "858-726-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S GRAPE ST STE 2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254407",
            "telephone_number": "480-217-2034",
            "fax_number": "858-726-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "MIRBOD",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-217-2034"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenna Elders
• Element Education
• Elephant Head LLC (Med Supply Masters)
• Angela Rachelle Eley, PT
• Laurel Day Elfenbein, ASW
• Elite Surgical Centers, Escondido
• Elizabeth Supportive Medical Specialists, a Medical Corporation
• Katia Alexis Elizondo Marquez
• Scott A Elizondo, LMFT
• Marla Elliott, AMFT

• Community Based Hospice Care Agency in Escondido, CA
• Providers in Escondido, 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 Feb 15, 2024; 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.