Provider Demographics
NPI:1912510470
Name:MERCED HOSPICE, INC
Entity type:Organization
Organization Name:MERCED HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOJADIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-550-3444
Mailing Address - Street 1:7541 N REMINGTON AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-5861
Mailing Address - Country:US
Mailing Address - Phone:559-550-3444
Mailing Address - Fax:559-550-3750
Practice Address - Street 1:7541 N REMINGTON AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-5861
Practice Address - Country:US
Practice Address - Phone:559-550-3444
Practice Address - Fax:559-550-3750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based