Provider Demographics
NPI:1568845261
Name:ENCINITAS HOSPICE CARE INC
Entity Type:Organization
Organization Name:ENCINITAS HOSPICE CARE INC
Other - Org Name:CALSTRO HOSPICE SAN DIEGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-643-6250
Mailing Address - Street 1:410 S SANTA FE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-6163
Mailing Address - Country:US
Mailing Address - Phone:866-568-6462
Mailing Address - Fax:858-289-4840
Practice Address - Street 1:410 S SANTA FE AVE STE 202
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-6163
Practice Address - Country:US
Practice Address - Phone:866-568-6462
Practice Address - Fax:858-289-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based