Provider Demographics
NPI:1538143318
Name:HINDS HOSPICE
Entity Type:Organization
Organization Name:HINDS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:G
Authorized Official - Last Name:KLIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-226-5683
Mailing Address - Street 1:2490 W SHAW AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3305
Mailing Address - Country:US
Mailing Address - Phone:559-226-5683
Mailing Address - Fax:559-248-8580
Practice Address - Street 1:2490 W SHAW AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3305
Practice Address - Country:US
Practice Address - Phone:559-226-5683
Practice Address - Fax:559-248-8580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100000749251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC051571FMedicaid
CA051571Medicare Oscar/Certification