Healthcare Provider Details

I. General information

NPI: 1912443227
Provider Name (Legal Business Name): HOPE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 01/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6377 CLARK AVE SUITE 100
DUBLIN CA
94568-3025
US

IV. Provider business mailing address

6377 CLARK AVE SUITE 100
DUBLIN CA
94568-3025
US

V. Phone/Fax

Practice location:
  • Phone: 925-829-8770
  • Fax: 925-829-0868
Mailing address:
  • Phone: 925-829-8770
  • Fax: 925-829-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS PARKER HOUSE
Title or Position: CFO/COO
Credential: MBA
Phone: 925-829-8770