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HOSPICE SERVICE OF LAKE COUNTY
NPI 1801893177
Hospice Care, Community Based in Lakeport, CA

Active since July 01, 2005CLIA 05D0930705 · Waiver
1862 PARALLEL DR, LAKEPORT, CA 95453(707) 263-6222(707) 263-4045 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2026, Jan 29, 2026, Aug 21, 2018 (3 updates tracked since 2018).

About Hospice Service Of Lake County NPPES

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

HOSPICE SERVICE OF LAKE COUNTY (NPI 1801893177) is a healthcare organization registered as a hospice care, community based in Lakeport, California and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Theresa L Phelps, Director Of Quality And Compliance, as its authorized official.

NPPES Registry Identity

NPI1801893177
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHOSPICE SERVICE OF LAKE COUNTY
Location Address1862 PARALLEL DRLakeport, CA 95453
Mailing Address1862 Parallel DrLakeport, CA 95453-9388 · (707) 263-6222 · Fax (707) 263-4045
Phone(707) 263-6222
Fax(707) 263-4045
Organization SubpartNo
Authorized OfficialTheresa L PhelpsDirector Of Quality And Compliance · (707) 263-6222
Enumeration DateJuly 1, 2005
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1801893177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in CA · 100000734
1862 PARALLEL DR, Lakeport, CA 95453
Open in Google Maps ↗

Other Identifiers 1

MedicaidHPC01561FCA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hospice Service Of Lake County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120202000150Part A · HospiceDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hospice Service Of Lake County, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kirk Andrus, MD
Family Practice
NPI 1699789891
4135 MAIN ST
Kelseyville, CA 95451
(707) 279-1888
✔ PECOS5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0930705

Hospice Services Of Lake County · Lakeport, CA
Active · expires Jul 16, 2027
CLIA Number05D0930705
Laboratory TypeHospice
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorBob Gardner, MD
Laboratory Phone(707) 263-6222
Laboratory LocationHospice Services Of Lake County1862 Parallel Dr, Lakeport, CA 95453
CLIA data matches this NPI record on: Address 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 Services Of Lake County (CMS certification number 051561), from CMS Care Compare.

Hospice Services Of Lake County

Hospice · Lakeport, CA
OwnershipFor-Profit
CMS Certification Number051561
CMS RegionRegion 9
Medicare-Certified SinceDecember 12, 1989
Average Daily Census22patients per day on average
Location1862 Parallel DrLakeport, CA 95453 · Lake County
Phone(707) 263-6222
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
Home99%
Nursing facility0%
Skilled nursing facility0%
Inpatient hospital0%
Patients with cancer
47%
Patients with dementia
13%
Patients with circulatory or heart disease
0%
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
206 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
206 patient stays
100%
Hospice and Palliative Care Pain Screening
206 patient stays
98.5%
Hospice and Palliative Care Pain Assessment
109 patient stays
71.6%
Hospice and Palliative Care Dyspnea Screening
206 patient stays
98.1%
Hospice and Palliative Care Dyspnea Treatment
141 patient stays
91.5%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
32 patient stays
100%
Hospice and Palliative Care Composite Process Measure
206 patient stays
77.2%
Hospice Visits in the Last Days of Life
328 patient stays
46%
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 59
60.8%
Early live discharges
National percentile 76
9.8%
Late live discharges
National percentile 11
22%
Burdensome transitions, Type 1
National percentile 19
0%
Burdensome transitions, Type 2
National percentile 67
2.4%
Per-beneficiary spending
National percentile 16
$10,610
Nurse care minutes per routine home care days
National percentile 17
9.2 minutes
Skilled nursing minutes on weekends
National percentile 24
5.8%
Visits near death
National percentile 16
81.9%
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 Service Of Lake County's NPI number?

The NPI number for Hospice Service Of Lake County is 1801893177. It was assigned to this organization in the NPPES registry on July 1, 2005.

Where is Hospice Service Of Lake County located?

Hospice Service Of Lake County is located at 1862 Parallel Dr, Lakeport, CA 95453. The listed phone number is (707) 263-6222.

What is Hospice Service Of Lake County's specialty?

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

Is Hospice Service Of Lake County enrolled in Medicare?

Yes. Hospice Service Of Lake County is registered in the Medicare PECOS enrollment system.

When is Hospice Service Of Lake County's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hospice Service Of Lake County?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Hospice Service Of Lake County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hospice Service Of Lake County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0930705) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hospice Service Of Lake County a Medicare-certified hospice?

Yes. Hospice Services Of Lake County is a Medicare-certified hospice (CMS certification number 051561), certified since December 12, 1989.

When was this NPI record last updated?

The NPPES record for Hospice Service Of Lake County was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.