Healthcare Provider Details

I. General information

NPI: 1992427637
Provider Name (Legal Business Name): HOPE HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6377 CLARK AVE
DUBLIN CA
94568-3025
US

IV. Provider business mailing address

6377 CLARK AVE
DUBLIN CA
94568-3025
US

V. Phone/Fax

Practice location:
  • Phone: 925-558-4782
  • Fax: 925-558-4782
Mailing address:
  • Phone: 925-558-4782
  • Fax: 925-558-4782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MECIA BRAZ PADILLA
Title or Position: ADMINISTRATOR
Credential:
Phone: 925-829-8770