Provider Demographics
NPI:1598366601
Name:ANAIAH HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:ANAIAH HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ATHENA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBTINALLA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:916-801-8917
Mailing Address - Street 1:3353 BRADSHAW RD STE 123
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2609
Mailing Address - Country:US
Mailing Address - Phone:916-801-8917
Mailing Address - Fax:
Practice Address - Street 1:3353 BRADSHAW RD STE 123
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2609
Practice Address - Country:US
Practice Address - Phone:916-801-8917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based