=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598148421
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVENT CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2015
-----------------------------------------------------
Last Update Date | 04/20/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27171 CALAROGA AVE STE 9
-----------------------------------------------------
City | HAYWARD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94545-4344
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-470-3546
-----------------------------------------------------
Fax | 510-751-5336
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27171 CALAROGA AVE STE 9
-----------------------------------------------------
City | HAYWARD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94545-4344
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-470-3546
-----------------------------------------------------
Fax | 510-751-5336
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | REGINA SMITH PARKER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 510-299-1250
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------