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General NPI Number Information
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NPI Number | 1932717634
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Entity Type | Organization
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Legal Business Name | JADE HOSPICE INC.
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Dates
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Enumeration Date | 07/19/2020
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2301 W LINCOLN AVE STE 124C
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City | ANAHEIM
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State | CA
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Zip | 92801-5135
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Country | US
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Telephone | 818-649-3025
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 W LINCOLN AVE STE 124C
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City | ANAHEIM
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State | CA
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Zip | 92801-5135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RYAN MOHAMMED
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Credential |
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Telephone | 818-646-4047
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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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