NPIMap

Organization Active NPI

Shores Hospice LLC

  • Community Based Hospice Care Agency
  • Oceanside, CA
National Provider Identifier
1962024760
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SHORES HOSPICE LLC
Practice address
2424 Vista Way Ste 206
Oceanside, CA 92054-6178
Phone
(858) 951-5454
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Bernie Perri
Title
Owner
Phone
(858) 951-5454

Specialties & licenses 1

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

Addresses

Primary practice location

2424 Vista Way Ste 206
Oceanside, CA 92054-6178

Mailing address

2424 Vista Way Ste 206
Oceanside, CA 92054-6178
Phone (858) 951-5454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200605001609 CA Part A Provider - Hospice 6204257835 Practice locations: Oceanside, CA

Hospice certification: CCN A11609

Legal name
SHORES HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 23, 2020
Last certification
Dec 23, 2020
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Feb 4, 2020 in CA
Enrollment address
2424 Vista Way
Ste 206
Oceanside, CA 92054-6178

Care Compare: Hospice

Medicare Care Compare
Listed as
Shores Hospice LLCCCN A11609
Ownership
Other
Certified
Dec 23, 2020
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
05D2201033Shores Hospice LLC2424 Vista Way Suite 206, Oceanside, CA 92054Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

2424 Vista Way
Ste 206
Oceanside, CA 92054
Phone (858) 951-5454

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Kevin Peay Individual 5% Or Greater Indirect Ownership InterestVice President Dec 31, 2025 20%
Operational/Managerial ControlVice President Dec 31, 2025 100%
Cascadia HC Group LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2025 60%
Stephen J Laforte Individual 5% Or Greater Indirect Ownership InterestVice President Dec 31, 2025 20%
Amanda M Caparso Individual Contracted Managing EmployeeMD; Dec 31, 2025 50%
Owen C Hammond Individual 5% Or Greater Indirect Ownership InterestPresident Dec 31, 2025 20%
Kathleen Thecla Mannion Individual W-2 Managing EmployeeAd; Dec 31, 2025 50%
Kraig Langheinrich Individual 5% Or Greater Indirect Ownership InterestVice President Dec 31, 2025 20%
Operational/Managerial ControlVice President Dec 31, 2025
Cascadia Hospice Holdings LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2025 100%
Cascadia Holdco LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2025 60%
Timothy Nelson Individual 5% Or Greater Indirect Ownership InterestVice President Dec 31, 2025 20%
Cascadia Hospice of California LLC Organization, Eagle, ID LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 31, 2025 100%

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 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1962024760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 VISTA WAY STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546178",
            "telephone_number": "858-951-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 VISTA WAY STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546178",
            "telephone_number": "858-951-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "PERRI",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-951-5454"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.