Provider Demographics
NPI:1417612797
Name:CARE1 HOSPICE INC
Entity Type:Organization
Organization Name:CARE1 HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HOSSNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-854-9544
Mailing Address - Street 1:5501 DE MARCUS BLVD APT 319
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7425
Mailing Address - Country:US
Mailing Address - Phone:925-854-9544
Mailing Address - Fax:
Practice Address - Street 1:5501 DE MARCUS BLVD APT 319
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-7425
Practice Address - Country:US
Practice Address - Phone:925-854-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based