Provider Demographics
NPI:1508307380
Name:TRUE CARE HOSPICE OF NORTHERN CALIFORNIA, INC.
Entity Type:Organization
Organization Name:TRUE CARE HOSPICE OF NORTHERN CALIFORNIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAXIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFONOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-277-0433
Mailing Address - Street 1:4813 EL CAMINO AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4966
Mailing Address - Country:US
Mailing Address - Phone:916-277-0433
Mailing Address - Fax:916-277-0455
Practice Address - Street 1:4813 EL CAMINO AVE STE A
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4966
Practice Address - Country:US
Practice Address - Phone:916-277-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based