MEDICARE: PEOPLEFIRST HOMECARE & HOSPICE OF CALIFORNIA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency		CA

General Provider Information

NPI Number	:	1821312216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLEFIRST HOMECARE & HOSPICE OF CALIFORNIA, LLC

Provider Business Mailing Address
First Line	:	1388 SUTTER ST
Second Line	:	605
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5427
Country	:	US
Telephone Number	:	415-544-3500
Fax Number	:	415-346-2512

Provider Business Practice Location Address
First Line	:	1388 SUTTER ST
Second Line	:	605
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5427
Country	:	US
Telephone Number	:	415-544-3500
Fax Number	:	415-346-2512

Authorized Official
Title or Position	:	SENIOR VP OF REIMBURSEMENT
Name	:	MR. ARTHUR L. ROTHGERBER
Credential	:
Telephone Number	:	502-596-7300

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	03/15/2010

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