MEDICARE: ST. JOSEPH'S CARE HOSPICE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1740603406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. JOSEPH'S CARE HOSPICE SERVICES, INC

Provider Business Mailing Address
First Line	:	263 S ESCONDIDO BLVD
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4116
Country	:	US
Telephone Number	:	760-294-5796
Fax Number	:	760-867-2231

Provider Business Practice Location Address
First Line	:	263 S ESCONDIDO BLVD
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4116
Country	:	US
Telephone Number	:	760-294-5796
Fax Number	:	760-867-2231

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA CONCEPCION UDAN
Credential	:
Telephone Number	:	760-294-5796

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	05/12/2026

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