{
"Npi": {
"NPI": "1346690153",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOSPICE CARE OF THE COAST INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1340 W VALLEY PKWY STE 103",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ESCONDIDO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92029-2135",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-294-3422",
"MailingAddressFaxNumber": "760-294-1166",
"FirstLinePracticeLocationAddress": "1340 W VALLEY PKWY STE 103",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ESCONDIDO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92029-2135",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-294-3422",
"PracticeLocationAddressFaxNumber": "760-294-1166",
"EnumerationDate": "06/13/2016",
"LastUpdateDate": "03/03/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CID",
"AuthorizedOfficialFirstName": "MARI DEE SANDRA",
"AuthorizedOfficialMiddleName": "CONCEPCION",
"AuthorizedOfficialTitle": "CEO/OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, MSN",
"AuthorizedOfficialTelephoneNumber": "858-344-5658",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "3897516",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}