Healthcare Provider Details

I. General information

NPI: 1902907041
Provider Name (Legal Business Name): HOPE HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6377 CLARK AVE STE 100
DUBLIN CA
94568-3024
US

IV. Provider business mailing address

6377 CLARK AVE STE 100
DUBLIN CA
94568-3024
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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number070000569
License Number StateCA

VIII. Authorized Official

Name: JENNIFER HANSEN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 925-829-8770