Provider Demographics
NPI:1790455921
Name:NEXTGEN HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:NEXTGEN HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONI
Authorized Official - Middle Name:
Authorized Official - Last Name:EAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-825-0847
Mailing Address - Street 1:1485 BAY SHORE BLVD STE 320P
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-4008
Mailing Address - Country:US
Mailing Address - Phone:650-761-4678
Mailing Address - Fax:650-761-4679
Practice Address - Street 1:1485 BAY SHORE BLVD STE 320P
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-4008
Practice Address - Country:US
Practice Address - Phone:650-761-4678
Practice Address - Fax:650-761-4679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-18
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based