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BLACK MOUNTAIN HEALTHCARE LLC NPI 1336764521


NPI Information

NPI: 1336764521
Provider Name: BLACK MOUNTAIN HEALTHCARE LLC

Doing Business As: SEAPORT HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
5473 KEARNY VILLA RD STE 110A
SAN DIEGO, CA
ZIP 92123
Phone: (858) 634-5870
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BLACK MOUNTAIN HEALTHCARE LLC is a hospice care community based in San Diego, CA. BLACK MOUNTAIN HEALTHCARE LLC NPI is 1336764521. The provider is registered as an organization entity type.
The provider Is Doing Business As Seaport Hospice.

The provider's business location address is:

5473 KEARNY VILLA RD STE 110A
SAN DIEGO, CA
ZIP 92123-160
Phone: (858) 634-5870

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The enumeration date for this NPI number is 6/12/2020 and was last updated on 3/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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: 11/14/2023

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