Healthcare Provider Details

I. General information

NPI: 1457028474
Provider Name (Legal Business Name): EPIONE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 GEORGIA ST STE 307
VALLEJO CA
94590-5993
US

IV. Provider business mailing address

1298 PALOU AVE
SAN FRANCISCO CA
94124-3333
US

V. Phone/Fax

Practice location:
  • Phone: 415-819-9926
  • Fax: 415-819-9926
Mailing address:
  • Phone: 415-819-9926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BOGDAN VINER
Title or Position: ADMINISTRATOR
Credential:
Phone: 415-819-9926