Active NPI
Absolute Care Health Systems Hospice, Inc.
- Community Based Hospice Care Agency
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- May 8, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2173647 | Shield Hospice | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rogelio Luciano Pineda | 5% Or Greater Direct Ownership Interest | Jan 15, 2019 | 50% |
| Corporate Officer | Jan 15, 2019 | 50% | |
| Corporate Director | Jan 15, 2019 | 50% | |
| W-2 Managing Employee | Jan 15, 2019 | 50% | |
| Maluisa Magno Pineda | 5% Or Greater Direct Ownership Interest | Jan 15, 2019 | 50% |
| Corporate Officer | Jan 15, 2019 | 50% | |
| Corporate Director | Jan 15, 2019 | 50% | |
| W-2 Managing Employee | Jan 15, 2019 | 50% | |
| Frederick Jenkin | Contracted Managing Employee | 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.
-
- Family Medicine Physician
- La Mesa, CA
- NPI 1225069123
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.