Provider Demographics
NPI:1407476377
Name:AMERICAN CAREQUEST PALLIATIVE CARE AND HOSPICE FOUNDATION
Entity Type:Organization
Organization Name:AMERICAN CAREQUEST PALLIATIVE CARE AND HOSPICE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-434-4858
Mailing Address - Street 1:819 COWAN RD STE C
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:819 COWAN RD STE C
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1220
Practice Address - Country:US
Practice Address - Phone:925-434-4858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty