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BLACK MOUNTAIN HEALTHCARE LLC
NPI 1336764521
Hospice Care, Community Based in Encinitas, CA

Active since June 12, 2020CLIA 05D2056691 · Waiver
662 ENCINITAS BLVD STE 201, ENCINITAS, CA 92024(858) 634-5870 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 18, 2025, Mar 7, 2024, Mar 16, 2021 and 1 more (4 updates tracked since 2020).

About Black Mountain Healthcare Llc NPPES

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

BLACK MOUNTAIN HEALTHCARE LLC (NPI 1336764521), doing business as Seaport Hospice, is a healthcare organization registered as a hospice care, community based in Encinitas, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1336764521
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBLACK MOUNTAIN HEALTHCARE LLC
Location Address662 ENCINITAS BLVD STE 201Encinitas, CA 92024-6789
Mailing Address662 Encinitas Blvd Ste 201Encinitas, CA 92024-6789 · (858) 634-5870
Phone(858) 634-5870
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateJune 12, 2020
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1336764521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
662 ENCINITAS BLVD STE 201, Encinitas, CA 92024
Open in Google Maps ↗

Other Names 1

Doing Business AsSeaport Hospice

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 05D2056691

Black Mountain Healthcare LLC Dba Seaport Hospice · Encinitas, CA
Active · expires Apr 1, 2027
CLIA Number05D2056691
Laboratory TypeHospice
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorRobert Demonte
Laboratory Phone(858) 634-5870
Laboratory LocationBlack Mountain Healthcare LLC Dba Seaport Hospice662 Encinitas Blvd Ste 201, Encinitas, CA 92024
CLIA data matches this NPI record on: Address 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 Seaport Hospice (CMS certification number 551745), from CMS Care Compare.

Seaport Hospice

Hospice · San Diego, CA
OwnershipFor-Profit
CMS Certification Number551745
CMS RegionRegion 9
Medicare-Certified SinceSeptember 26, 2013
Average Daily Census21patients per day on average
Location3750 Convoy Street, Suite 220BSan Diego, CA 92111 · San Diego County
Phone(858) 634-5870
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
Home64%
Assisted living facility18%
Nursing facility0%
Skilled nursing facility17%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
15%
Patients with dementia
20%
Patients with circulatory or heart disease
10%
Patients with stroke
11%
Patients with other conditions
0%
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
275 patient stays
98.5%
Beliefs & Values Addressed (if desired by the patient)
275 patient stays
97.1%
Hospice and Palliative Care Pain Screening
275 patient stays
100%
Hospice and Palliative Care Pain Assessment
138 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
275 patient stays
99.3%
Hospice and Palliative Care Dyspnea Treatment
96 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
60 patient stays
100%
Hospice and Palliative Care Composite Process Measure
275 patient stays
96.4%
Hospice Visits in the Last Days of Life
279 patient stays
34.8%
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.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 65
0.1%
Gaps in nursing visits
National percentile 41
48.3%
Early live discharges
National percentile 81
10.9%
Late live discharges
National percentile 45
37.7%
Burdensome transitions, Type 1
National percentile 68
10.1%
Burdensome transitions, Type 2
National percentile 65
2.2%
Per-beneficiary spending
National percentile 53
$17,102
Nurse care minutes per routine home care days
National percentile 47
12 minutes
Skilled nursing minutes on weekends
National percentile 36
6.8%
Visits near death
National percentile 53
93.7%
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 Black Mountain Healthcare LLC's NPI number?

The NPI number for Black Mountain Healthcare LLC is 1336764521. It was assigned to this organization in the NPPES registry on June 12, 2020. The provider is doing business as Seaport Hospice.

Where is Black Mountain Healthcare LLC located?

Black Mountain Healthcare LLC is located at 662 Encinitas Blvd Ste 201, Encinitas, CA 92024. The listed phone number is (858) 634-5870.

What is Black Mountain Healthcare LLC's specialty?

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

Does Black Mountain Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2056691) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Black Mountain Healthcare LLC a Medicare-certified hospice?

Yes. Seaport Hospice is a Medicare-certified hospice (CMS certification number 551745), certified since September 26, 2013.

When was this NPI record last updated?

The NPPES record for Black Mountain Healthcare LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.