Provider Demographics
NPI:1891784906
Name:WHISPERING HOPE CARE CENTER INC.
Entity Type:Organization
Organization Name:WHISPERING HOPE CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-473-3004
Mailing Address - Street 1:5320 CARRINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-3515
Mailing Address - Country:US
Mailing Address - Phone:209-473-3004
Mailing Address - Fax:209-473-3329
Practice Address - Street 1:5320 CARRINGTON CIR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-3515
Practice Address - Country:US
Practice Address - Phone:209-473-3004
Practice Address - Fax:209-473-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC55496HMedicaid
CALTC55496HMedicaid