Provider Demographics
NPI:1346690153
Name:HOSPICE CARE OF THE COAST INC
Entity Type:Organization
Organization Name:HOSPICE CARE OF THE COAST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARI DEE SANDRA
Authorized Official - Middle Name:CONCEPCION
Authorized Official - Last Name:CID
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:858-344-5658
Mailing Address - Street 1:1340 W VALLEY PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-2135
Mailing Address - Country:US
Mailing Address - Phone:760-294-3422
Mailing Address - Fax:760-294-1166
Practice Address - Street 1:1340 W VALLEY PKWY STE 103
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-2135
Practice Address - Country:US
Practice Address - Phone:760-294-3422
Practice Address - Fax:760-294-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3897516251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based