Provider Demographics
NPI:1336895903
Name:HOFFMANN HOSPICE OF THE VALLEY INC
Entity type:Organization
Organization Name:HOFFMANN HOSPICE OF THE VALLEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-410-1010
Mailing Address - Street 1:4325 BUENA VISTA RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8701
Mailing Address - Country:US
Mailing Address - Phone:661-410-1010
Mailing Address - Fax:661-381-2215
Practice Address - Street 1:4325 BUENA VISTA RD BLDG A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8701
Practice Address - Country:US
Practice Address - Phone:661-410-1010
Practice Address - Fax:661-381-2215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOFFMANN HOSPICE OF THE VALLEY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty