Healthcare Provider Details

I. General information

NPI: 1174510721
Provider Name (Legal Business Name): HOFFMANN HOMECARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 E ST SUITE 200
BAKERSFIELD CA
93301-3837
US

IV. Provider business mailing address

2225 E ST SUITE 200
BAKERSFIELD CA
93301-3837
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 Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPHY37014
License Number StateCA

VIII. Authorized Official

Name: MR. THOMAS ALAN HOFFMANN
Title or Position: PRESIDENT
Credential: RPH
Phone: 661-377-0180