Provider Demographics
NPI:1821461377
Name:RELIANCE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:RELIANCE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-573-4404
Mailing Address - Street 1:39675 CEDAR BLVD.,
Mailing Address - Street 2:SUITE 235
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5490
Mailing Address - Country:US
Mailing Address - Phone:510-573-4404
Mailing Address - Fax:
Practice Address - Street 1:39675 CEDAR BLVD.,
Practice Address - Street 2:SUITE 235
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5490
Practice Address - Country:US
Practice Address - Phone:510-573-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based