Provider Demographics
NPI:1043891062
Name:PURPOSE DRIVEN HOSPICE, LLC
Entity Type:Organization
Organization Name:PURPOSE DRIVEN HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINNA NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHING - ALTAVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSA-HCM, CHCA, RN
Authorized Official - Phone:661-388-2690
Mailing Address - Street 1:8720 HARRIS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9837
Mailing Address - Country:US
Mailing Address - Phone:661-388-2690
Mailing Address - Fax:661-393-8200
Practice Address - Street 1:8720 HARRIS RD STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9837
Practice Address - Country:US
Practice Address - Phone:661-388-2690
Practice Address - Fax:661-393-8200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based