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HOSPICE OF AMADOR & CALAVERAS
NPI 1235111097
Hospice Care, Community Based in Jackson, CA

Active since November 17, 2005CLIA 05D0926617 · Waiver
1500 S STATE HIGHWAY 49, SUITE 205, JACKSON, CA 95642(209) 223-5500(209) 223-3752 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hospice Of Amador & Calaveras NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOSPICE OF AMADOR & CALAVERAS (NPI 1235111097), doing business as Hospice Of Amador, is a healthcare organization registered as a hospice care, community based in Jackson, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Dan J Riordan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235111097
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHOSPICE OF AMADOR & CALAVERAS
Location Address1500 S STATE HIGHWAY 49, SUITE 205Jackson, CA 95642-2652
Mailing AddressPo Box 595Jackson, CA 95642-0595 · (209) 223-5500 · Fax (209) 223-3752
Phone(209) 223-5500
Fax(209) 223-3752
Organization SubpartNo
Authorized OfficialDan J RiordanExecutive Director · (209) 223-5500
Enumeration DateNovember 17, 2005
Last NPPES UpdateJune 9, 2008
✔ NPI 1235111097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1500 S STATE HIGHWAY 49, Jackson, CA 95642
Open in Google Maps ↗

Other Names 1

Former Legal Business NameHospice Of Amador

Other Identifiers 2

MedicaidHPC01650FCA
Medicare ID-Type Unspecified051650CA · Medicare Provider Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0926617

Hospice Of Amador & Calaveras · Jackson, CA
Active · expires Mar 25, 2027
CLIA Number05D0926617
Laboratory TypeHospice
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorDonald D. Van Fossan, MD
Laboratory Phone(209) 223-5500
Laboratory LocationHospice Of Amador & Calaveras1500 Hwy 49 South Suite 205 PO Box 595, Jackson, CA 95642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Hospice Of Amador & Calaveras (CMS certification number 051650), from CMS Care Compare.

Hospice Of Amador & Calaveras

Hospice · Jackson, CA
OwnershipNon-Profit
CMS Certification Number051650
CMS RegionRegion 9
Medicare-Certified SinceFebruary 23, 1995
Average Daily Census32patients per day on average
Location1500 South Highway 49, # 205Jackson, CA 95642 · Amador County
Phone(209) 223-5500
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home98%
Assisted living facility0%
Skilled nursing facility0%
Inpatient hospice facility0%
Patients with cancer
39%
Patients with dementia
18%
Patients with respiratory disease
5%
Patients with other conditions
7%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
156 patient stays
99.4%
Beliefs & Values Addressed (if desired by the patient)
156 patient stays
98.1%
Hospice and Palliative Care Pain Screening
156 patient stays
98.1%
Hospice and Palliative Care Pain Assessment
63 patient stays
69.8%
Hospice and Palliative Care Dyspnea Screening
156 patient stays
99.4%
Hospice and Palliative Care Dyspnea Treatment
57 patient stays
96.5%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
43 patient stays
97.7%
Hospice and Palliative Care Composite Process Measure
156 patient stays
84.6%
Hospice Visits in the Last Days of Life
219 patient stays
25.1%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
9/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 48
53.7%
Early live discharges
National percentile 89
13.6%
Late live discharges
National percentile 5
13.6%
Burdensome transitions, Type 1
National percentile 38
4.5%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 34
$14,001
Nurse care minutes per routine home care days
National percentile 83
16.2 minutes
Skilled nursing minutes on weekends
National percentile 31
6.4%
Visits near death
National percentile 72
96%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hospice Of Amador & Calaveras's NPI number?

The NPI number for Hospice Of Amador & Calaveras is 1235111097. It was assigned to this organization in the NPPES registry on November 17, 2005. The provider was formerly known as Hospice Of Amador.

Where is Hospice Of Amador & Calaveras located?

Hospice Of Amador & Calaveras is located at 1500 S State Highway 49 Suite 205, Jackson, CA 95642. The listed phone number is (209) 223-5500.

What is Hospice Of Amador & Calaveras's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Hospice Of Amador & Calaveras hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0926617) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hospice Of Amador & Calaveras a Medicare-certified hospice?

Yes. Hospice Of Amador & Calaveras is a Medicare-certified hospice (CMS certification number 051650), certified since February 23, 1995.

When was this NPI record last updated?

The NPPES record for Hospice Of Amador & Calaveras was last updated on June 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.