Provider Demographics
NPI:1811422751
Name:MINDFULCARE HOSPICE AND PALLIATIVE SERVVICES
Entity Type:Organization
Organization Name:MINDFULCARE HOSPICE AND PALLIATIVE SERVVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARUSKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, FNP
Authorized Official - Phone:925-218-8900
Mailing Address - Street 1:4047 1ST ST STE 107
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1462
Mailing Address - Country:US
Mailing Address - Phone:925-218-8900
Mailing Address - Fax:925-271-5141
Practice Address - Street 1:4047 1ST ST STE 107
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-1462
Practice Address - Country:US
Practice Address - Phone:925-218-8900
Practice Address - Fax:925-271-5141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based