Healthcare Provider Details

I. General information

NPI: 1003297623
Provider Name (Legal Business Name): HOFFMANN HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 E ST
BAKERSFIELD CA
93301-3845
US

IV. Provider business mailing address

2225 E ST
BAKERSFIELD CA
93301-3845
US

V. Phone/Fax

Practice location:
  • Phone: 661-377-0180
  • Fax: 661-377-0185
Mailing address:
  • Phone: 661-377-0180
  • Fax: 661-377-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number37014
License Number StateCA

VIII. Authorized Official

Name: CHASE HOFFMANN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 661-377-0180