=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801412853
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAVIORS OF HOPE HOSPICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2020
-----------------------------------------------------
Last Update Date | 10/25/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1527 19TH ST STE 220
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-4466
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-310-3500
-----------------------------------------------------
Fax | 661-310-2452
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1527 19TH ST STE 220
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-4466
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-310-3500
-----------------------------------------------------
Fax | 661-310-2452
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR DESIGNEE
-----------------------------------------------------
Name | KRISTINA FAJARDO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 661-374-4626
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------