Healthcare Provider Details

I. General information

NPI: 1033747894
Provider Name (Legal Business Name): ARISE HOSPICE AND PALLIATIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 N CHERRYLAND AVE
STOCKTON CA
95215-2206
US

IV. Provider business mailing address

3730 N CHERRYLAND AVE
STOCKTON CA
95215-2206
US

V. Phone/Fax

Practice location:
  • Phone: 510-584-6280
  • Fax: 510-584-6280
Mailing address:
  • Phone: 510-584-6280
  • Fax: 510-584-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN N OBEGOLU
Title or Position: LLC MEMBER MANAGER/ADMINISTRATOR
Credential:
Phone: 415-517-9247