NPIMap

Organization Active NPI

Hospice of the North Coast

  • Community Based Hospice Care Agency
  • Carlsbad, CA
National Provider Identifier
1992704506
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
080000621 Issued in CA
Legal business name
HOSPICE OF THE NORTH COAST
Practice address
2525 Pio Pico Dr
Suite 301
Carlsbad, CA 92008-1568
Phone
(760) 431-4100
Fax
(760) 431-4133
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Sharon Lutz, RN BSN CHPN
Title
Executive Director
Phone
(760) 431-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 080000621 CA Primary

Addresses

Primary practice location

2525 Pio Pico Dr
Suite 301
Carlsbad, CA 92008-1568

Mailing address

2525 Pio Pico Dr
Suite 301
Carlsbad, CA 92008-1568
Phone (760) 431-4100

Other identifiers 1

IdentifierTypeStateIssuer
HPC01733FOtherCAMEDI-CAL PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030405000003 CA Part A Provider - Hospice 2062321086 Practice locations: Carlsbad, CA

Hospice certification: CCN 051733

Legal name
HOSPICE OF THE NORTH COAST
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 22, 1999
Last certification
Apr 5, 2019
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1980 in CA
Enrollment address
2525 Pio Pico Dr
Ste 301
Carlsbad, CA 92008-1568

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the North CoastCCN 051733
Ownership
Other
Certified
Jul 22, 1999
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2525 Pio Pico Dr
Ste 301
Carlsbad, CA 92008
Phone (760) 431-4100

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Chuck Atkinson Individual Corporate DirectorBoard Member Jul 1, 2016
Lee H Farmer Individual Corporate DirectorBoard Member Sep 24, 2019
Andy Maffia Individual Corporate DirectorBoard Member Jul 1, 2011
Leann Rytz Individual Corporate DirectorBoard Member Oct 30, 2019
Michael Landau Individual Corporate DirectorBoard Member Sep 26, 2023
Leslie Brubaker Individual Corporate DirectorBoard Member Sep 1, 2016
Jonathan Schwartz Individual Corporate DirectorBoard Member Sep 26, 2023
Sharon L Lutz Individual Corporate OfficerExecutive Director Jun 13, 2014
Corporate DirectorExecutive Director Jun 13, 2014
Lisa Frazee Individual Corporate DirectorBoard Member Mar 1, 2012
Lois Martyns Individual Corporate DirectorBoard Member May 1, 2017
Cathy Gibson Individual W-2 Managing EmployeeDirector of Clinical Services Jan 27, 2017
Doran Stambaugh Individual Corporate DirectorBoard Member Oct 1, 2009
Jeffrey O Leach Individual Corporate DirectorBoard Member Oct 1, 2015
Kathleen Urbina Individual Corporate DirectorBoard Member Mar 1, 2017
Lisa L Cannon-Rodman Individual Corporate DirectorBoard Member May 19, 2009
Charles E Hergesheimer Individual Contracted Managing EmployeeMD; Jul 14, 2010
Stacy L Maxa Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1992704506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 PIO PICO DR",
            "address_2": "SUITE 301",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081568",
            "telephone_number": "760-431-4100",
            "fax_number": "760-431-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PIO PICO DR",
            "address_2": "SUITE 301",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081568",
            "telephone_number": "760-431-4100",
            "fax_number": "760-431-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE NORTH COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-431-4100",
        "authorized_official_credential": "RN BSN CHPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "080000621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "HPC01733F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.