Healthcare Provider Details

I. General information

NPI: 1831772359
Provider Name (Legal Business Name): MISSION HOSPICE & HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 BOVET RD STE 100
SAN MATEO CA
94402-3126
US

IV. Provider business mailing address

66 BOVET RD STE 100
SAN MATEO CA
94402-3126
US

V. Phone/Fax

Practice location:
  • Phone: 650-554-1000
  • Fax: 650-554-1001
Mailing address:
  • Phone: 650-554-1000
  • Fax: 650-554-1001

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
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBERTINA SZOLAROVA
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential: RN
Phone: 650-554-1000