=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114536612
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATLAS HOSPICE CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2020
-----------------------------------------------------
Last Update Date | 07/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2236 LONGPORT CT STE 130
-----------------------------------------------------
City | ELK GROVE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95758-7185
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-978-1811
-----------------------------------------------------
Fax | 916-603-3389
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9655 GRANITE RIDGE DR STE 500
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92123-2676
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-310-9316
-----------------------------------------------------
Fax | 619-310-9316
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RCM MANAGER
-----------------------------------------------------
Name | BARBARA ESPINOZA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 619-280-8184
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------