Organization Active NPI

Absolute Care Health Systems Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1982160669
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ABSOLUTE CARE HEALTH SYSTEMS HOSPICE, INC.
Practice address
7940 Silverton Ave Ste 203
San Diego, CA 92126-6341
Phone
(858) 433-7128
NPI assigned
Feb 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Rogelio Pineda Jr.
Title
Ceo
Phone
(858) 433-7128

Specialties & licenses 1

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

Addresses

Primary practice location

7940 Silverton Ave Ste 203
San Diego, CA 92126-6341

Mailing address

7940 Silverton Ave Ste 203
San Diego, CA 92126-6341
Phone (858) 433-7128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107000155 CA Part A Provider - Hospice 1951733260 Practice locations: San Diego, CA

Hospice certification: CCN A11785

Legal name
ABSOLUTE CARE HEALTH SYSTEMS HOSPICE INC
Doing business as
SHIELD HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 8, 2021
Last certification
May 8, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2019 in CA
Enrollment address
7940 Silverton Ave
Ste 203
San Diego, CA 92126-6341

Care Compare: Hospice

Medicare Care Compare
Listed as
Shield HospiceCCN A11785
Ownership
For-Profit
Certified
May 8, 2021
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
05D2173647Shield Hospice7940 Silverton Ave Suite 203, San Diego, CA 92126Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

7940 Silverton Ave
Ste 203
San Diego, CA 92126
Phone (858) 433-7128

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Rogelio Luciano Pineda Individual 5% Or Greater Direct Ownership InterestCeo/Sect/Board Member,Administrator Jan 15, 2019 50%
Corporate OfficerCeo/Secretary/Board Member Jan 15, 2019 50%
Corporate DirectorCeo/Secretary/Board Member Jan 15, 2019 50%
W-2 Managing EmployeeCeo/Sect/Board Member,Administrator Jan 15, 2019 50%
Maluisa Magno Pineda Individual 5% Or Greater Direct Ownership InterestCfo/Board Member, DPCS Jan 15, 2019 50%
Corporate OfficerCfo/Board Member Jan 15, 2019 50%
Corporate DirectorCfo/Board Member Jan 15, 2019 50%
W-2 Managing EmployeeCfo/Board Member, DPCS Jan 15, 2019 50%
Frederick Jenkin Individual Contracted Managing EmployeeMD; Sep 27, 2022 50%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1982160669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SILVERTON AVE STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266341",
            "telephone_number": "858-433-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SILVERTON AVE STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266341",
            "telephone_number": "858-433-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE CARE HEALTH SYSTEMS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-433-7128",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.