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NPI Code Detail

MEDICARE: CP NAPA N-CA HOSPICE, LLC

MEDICARE: CP NAPA N-CA HOSPICE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
2251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1093537219
Entity Type Code : Organization
Provider Name (Legal Business Name) : CP NAPA N-CA HOSPICE, LLC
Provider Business Mailing Address
First Line : 414 S JEFFERSON ST
Second Line :
City : NAPA
State : CA
Zip : 94559-4515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 414 S JEFFERSON ST
Second Line :
City : NAPA
State : CA
Zip : 94559-4515
Country : US
Telephone Number : 707-258-9080
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFIER
Name : TERRI WARREN
Credential :
Telephone Number : 310-480-2982
Provider Enumeration Date : 10/29/2024
Last Update Date : 02/24/2025

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Directions to “CP NAPA N-CA HOSPICE, LLC ” Practice Location

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