Provider Demographics
NPI:1154682987
Name:BAKERSFIELD COMMUNITY HOSPICE, INC.
Entity type:Organization
Organization Name:BAKERSFIELD COMMUNITY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DERMENJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-327-9800
Mailing Address - Street 1:1811 OAK ST STE 160
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3064
Mailing Address - Country:US
Mailing Address - Phone:661-327-9800
Mailing Address - Fax:661-327-9810
Practice Address - Street 1:1811 OAK ST STE 160
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3064
Practice Address - Country:US
Practice Address - Phone:661-327-9800
Practice Address - Fax:661-327-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative MedicineGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Yes251G00000XAgenciesHospice Care, Community Based