Healthcare Provider Details

I. General information

NPI: 1891784906
Provider Name (Legal Business Name): WHISPERING HOPE CARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 CARRINGTON CIR
STOCKTON CA
95210-3515
US

IV. Provider business mailing address

5320 CARRINGTON CIR
STOCKTON CA
95210-3515
US

V. Phone/Fax

Practice location:
  • Phone: 209-473-3004
  • Fax: 209-473-3329
Mailing address:
  • Phone: 209-473-3004
  • Fax: 209-473-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. VERNON GARREN
Title or Position: OWNER
Credential:
Phone: 209-473-3004