Healthcare Provider Details

I. General information

NPI: 1013530880
Provider Name (Legal Business Name): HEART TO HEART HOSPICE OF SOUTHERN CALIFORNIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PALOMAR AIRPORT RD STE 120
CARLSBAD CA
92011-1026
US

IV. Provider business mailing address

7240 CHASE OAKS BLVD
PLANO TX
75025-5901
US

V. Phone/Fax

Practice location:
  • Phone: 714-203-8799
  • Fax: 760-869-3239
Mailing address:
  • Phone: 972-517-6300
  • Fax: 972-517-6310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KELLY MITCHELL
Title or Position: MANAGER
Credential:
Phone: 972-517-6300