=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376917120
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BLIZE HEALTHCARE CALIFORNIA INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2015
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 828 SAN PABLO AVE SUITE 105
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94706-1678
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-552-5493
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 750 ALRED NOBEL DR, SUITE SUITE 202
-----------------------------------------------------
City | HERCULES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94547
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-552-5493
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL MANAGER
-----------------------------------------------------
Name | MR. UKEJE ELENDU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 855-552-5493
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number | 550001547
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------