Healthcare Provider Details

I. General information

NPI: 1467443952
Provider Name (Legal Business Name): YOLO HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 GALILEO CT SUITE A
DAVIS CA
95618-4890
US

IV. Provider business mailing address

PO BOX 1014
DAVIS CA
95617-1014
US

V. Phone/Fax

Practice location:
  • Phone: 530-758-5566
  • Fax: 530-758-8502
Mailing address:
  • Phone: 530-758-5566
  • Fax: 530-758-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CRAIG DRESANG
Title or Position: CEO
Credential:
Phone: 530-758-5566