MEDICARE: RELIANCE HOSPICE CARE, INC.

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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1821461377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIANCE HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	39675 CEDAR BLVD.,
Second Line	:	SUITE 235
City	:	NEWARK
State	:	CA
Zip	:	94560-5490
Country	:	US
Telephone Number	:	510-573-4404
Fax Number	:

Provider Business Practice Location Address
First Line	:	39675 CEDAR BLVD.,
Second Line	:	SUITE 235
City	:	NEWARK
State	:	CA
Zip	:	94560-5490
Country	:	US
Telephone Number	:	510-573-4404
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	SABRINA MUSTAFA
Credential	:
Telephone Number	:	510-573-4404

Provider Enumeration Date	:	11/05/2015
Last Update Date	:	10/08/2019

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