NPI Code Details Logo

NPI 1477163798

NPI 1477163798 : ANODYNE HOSPICE CARE INC : FREMONT, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477163798
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ANODYNE HOSPICE CARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/01/2020
-----------------------------------------------------
    Last Update Date     |    02/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    39111 PASEO PADRE PKWY STE 304 
-----------------------------------------------------
    City                 |    FREMONT
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94538-1685
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-968-5392
-----------------------------------------------------
    Fax                  |    925-523-3876
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    39111 PASEO PADRE PKWY STE 304 
-----------------------------------------------------
    City                 |    FREMONT
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94538-1685
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-968-5392
-----------------------------------------------------
    Fax                  |    925-523-3876
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     JEFF  BRADBURY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    925-968-5392
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.