Provider Demographics
NPI:1215349501
Name:ASSISTA HOSPICE CARE LLC
Entity type:Organization
Organization Name:ASSISTA HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NYMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIENTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-580-3867
Mailing Address - Street 1:2006 PIONEER CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2006 PIONEER CT
Practice Address - Street 2:SUITE C
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1720
Practice Address - Country:US
Practice Address - Phone:650-396-2690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based