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General NPI Number Information
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NPI Number | 1033747894
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Entity Type | Organization
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Legal Business Name | ARISE HOSPICE AND PALLIATIVE CARE, LLC
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 3730 N CHERRYLAND AVE
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City | STOCKTON
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State | CA
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Zip | 95215-2206
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Country | US
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Telephone | 510-584-6280
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Fax | 510-584-6280
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Provider Business Mailing Address
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Address Line | 3730 N CHERRYLAND AVE
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City | STOCKTON
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State | CA
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Zip | 95215-2206
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Country | US
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Telephone | 510-584-6280
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Fax | 510-584-6280
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Authorized Official
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Title or Position | LLC MEMBER MANAGER/ADMINISTRATOR
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Name | MR. JOHN N OBEGOLU
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Credential |
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Telephone | 415-517-9247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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