MEDICARE: HOPEFULMINDS PALLIATIVE & HOSPICE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP1600X	Pastoral Counselor
2	251B00000X	Case Management Agency
3	251J00000X	Nursing Care Agency
4	385H00000X	Respite Care
5	251K00000X	Public Health or Welfare Agency
6	251S00000X	Community/Behavioral Health Agency
7	253Z00000X	In Home Supportive Care Agency
8	261QC1500X	Community Health Clinic/Center
9	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1578384822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPEFULMINDS PALLIATIVE & HOSPICE

Provider Business Mailing Address
First Line	:	26456 VALENCIA WAY
Second Line	:
City	:	LOMA LINDA
State	:	CA
Zip	:	92354-6119
Country	:	US
Telephone Number	:	909-263-4889
Fax Number	:

Provider Business Practice Location Address
First Line	:	2034 E SOUTHERN AVE STE U
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-7519
Country	:	US
Telephone Number	:	650-420-9888
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. ANNET MUGISHA
Credential	:	BSN, MPH
Telephone Number	:	909-263-4889

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	10/21/2024

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Directions to “HOPEFULMINDS PALLIATIVE & HOSPICE ” Practice Location

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