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General NPI Number Information
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NPI Number | 1275101867
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Entity Type | Organization
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Legal Business Name | STRIVE HOSPICE, LLC.
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 6522 TELEGRAPH AVE # 6526
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City | OAKLAND
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State | CA
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Zip | 94609-1114
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Country | US
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Telephone | 480-404-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 MADISON AVE STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95841-3146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INVESTOR
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Name | MR. TODD MCCORMACK
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Credential |
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Telephone | 907-244-4085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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