Healthcare Provider Details

I. General information

NPI: 1962991604
Provider Name (Legal Business Name): ALTRUITY HOME HEALTH & HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2018
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 SHAFFER RD STE 1
ATWATER CA
95301-4456
US

IV. Provider business mailing address

1675 SHAFFER RD STE 1
ATWATER CA
95301-4456
US

V. Phone/Fax

Practice location:
  • Phone: 209-676-2797
  • Fax:
Mailing address:
  • Phone: 209-676-2797
  • Fax: 209-357-6878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LILIANA VALDIVIA
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 209-676-2797