Provider Demographics
NPI:1821312216
Name:PEOPLEFIRST HOMECARE & HOSPICE OF CALIFORNIA, LLC
Entity Type:Organization
Organization Name:PEOPLEFIRST HOMECARE & HOSPICE OF CALIFORNIA, LLC
Other - Org Name:PEOPLEFIRST HOMECARE & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROTHGERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7300
Mailing Address - Street 1:1388 SUTTER ST
Mailing Address - Street 2:605
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5427
Mailing Address - Country:US
Mailing Address - Phone:415-544-3500
Mailing Address - Fax:415-346-2512
Practice Address - Street 1:1388 SUTTER ST
Practice Address - Street 2:605
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5427
Practice Address - Country:US
Practice Address - Phone:415-544-3500
Practice Address - Fax:415-346-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000000Medicare Oscar/Certification