Provider Demographics
NPI:1154939791
Name:R AND A HOSPICE, INC.
Entity type:Organization
Organization Name:R AND A HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MABANTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-207-9442
Mailing Address - Street 1:3 E 3RD AVE STE 322
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-4279
Mailing Address - Country:US
Mailing Address - Phone:650-207-9442
Mailing Address - Fax:415-508-4830
Practice Address - Street 1:3 E 3RD AVE STE 322
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-4279
Practice Address - Country:US
Practice Address - Phone:650-207-9442
Practice Address - Fax:415-508-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based