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General NPI Number Information
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NPI Number | 1366938060
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Entity Type | Organization
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Legal Business Name | HESTIA HOSPICE & FAMILY CARE LLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 5674 STONERIDGE DR STE 206
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City | PLEASANTON
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State | CA
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Zip | 94588-8532
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Country | US
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Telephone | 952-224-8709
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK PLZ
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City | NASHVILLE
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State | TN
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Zip | 37203-6527
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Country | US
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Telephone | 615-344-9551
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Fax |
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Authorized Official
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Title or Position | MANAGER, REGULATORY PRACTICES
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Name | DONNIS M. EVANS
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Credential |
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Telephone | 615-278-0367
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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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