Provider Demographics
NPI:1225612062
Name:UNITED HOSPICE & HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:UNITED HOSPICE & HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVEET
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-552-9771
Mailing Address - Street 1:415 N MAIN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-3950
Mailing Address - Country:US
Mailing Address - Phone:209-242-8360
Mailing Address - Fax:209-924-3434
Practice Address - Street 1:415 N MAIN ST STE 1B
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-3950
Practice Address - Country:US
Practice Address - Phone:209-242-8360
Practice Address - Fax:209-924-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based