Provider Demographics
NPI:1245412188
Name:HOPE HOSPICE & HEALTHCARE, INC.
Entity Type:Organization
Organization Name:HOPE HOSPICE & HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXEC OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-679-8872
Mailing Address - Street 1:29826 HAUN ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-6547
Mailing Address - Country:US
Mailing Address - Phone:951-679-8872
Mailing Address - Fax:951-679-7882
Practice Address - Street 1:29826 HAUN ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-6547
Practice Address - Country:US
Practice Address - Phone:951-679-8872
Practice Address - Fax:951-679-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
CA5500000504251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC51514FMedicaid
CA551514Medicare Oscar/Certification