Provider Demographics
NPI:1568713006
Name:HOSPICE OF THE VALLEY
Entity Type:Organization
Organization Name:HOSPICE OF THE VALLEY
Other - Org Name:PALLIATIVE CARE CENTER - SILICON VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-559-5600
Mailing Address - Street 1:4850 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-5156
Mailing Address - Country:US
Mailing Address - Phone:408-559-5600
Mailing Address - Fax:408-559-5320
Practice Address - Street 1:455 OCONNOR DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1633
Practice Address - Country:US
Practice Address - Phone:408-277-7777
Practice Address - Fax:408-277-7779
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF THE VALLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-24
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty