Provider Demographics
NPI:1992427637
Name:HOPE HOSPICE INC.
Entity type:Organization
Organization Name:HOPE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MECIA
Authorized Official - Middle Name:BRAZ
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-829-8770
Mailing Address - Street 1:6377 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3025
Mailing Address - Country:US
Mailing Address - Phone:925-558-4782
Mailing Address - Fax:925-558-4782
Practice Address - Street 1:6377 CLARK AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3025
Practice Address - Country:US
Practice Address - Phone:925-558-4782
Practice Address - Fax:925-558-4782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE HOSPICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-19
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty