Healthcare Provider Details

I. General information

NPI: 1366449951
Provider Name (Legal Business Name): SNOWLINE HOSPICE OF EL DORADO COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 PLEASANT VALLEY RD
DIAMOND SPRINGS CA
95619
US

IV. Provider business mailing address

6520 PLEASANT VALLEY RD
DIAMOND SPRINGS CA
95619-9512
US

V. Phone/Fax

Practice location:
  • Phone: 530-621-7820
  • Fax: 530-621-4503
Mailing address:
  • Phone: 530-621-7820
  • Fax: 530-621-4503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number100000610
License Number StateCA

VIII. Authorized Official

Name: MR. TIMOTHY MEADOWS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 530-621-7820