CHARTER HOSPICE OF SAN DIEGO LLC NPI 1023414349

NPI Information

NPI: 1023414349
Provider Name: CHARTER HOSPICE OF SAN DIEGO, LLC

Former Legal Business Name: OCEANSIDE HOME HEALTH AND HOSPICE CARE INC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
840 TOWNSITE DR
STE. 856
VISTA, CA
ZIP 92084
Phone: (760) 414-9717
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CHARTER HOSPICE OF SAN DIEGO, LLC is a hospice care community based in Vista, CA. CHARTER HOSPICE OF SAN DIEGO, LLC NPI is 1023414349. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Oceanside Home Health And Hospice Care Inc.

The provider's business location address is:

840 TOWNSITE DR
STE. 856
VISTA, CA
ZIP 92084-566
Phone: (760) 414-9717
Fax: (760) 414-9095

The provider's authorized official is Sylvie Boal .
The authorized official title is Corporate Counsel and has the following contact phone number (909) 644-4965.

The CLIA number assigned to this NPI record is 05D2113707 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2014 and was last updated on 11/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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