Provider Demographics
NPI:1023762648
Name:ELIXIR HOME HEALTH CARE & HOSPICE, INC.
Entity type:Organization
Organization Name:ELIXIR HOME HEALTH CARE & HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:DELFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-201-6025
Mailing Address - Street 1:851 BURLWAY RD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1709
Mailing Address - Country:US
Mailing Address - Phone:650-581-1359
Mailing Address - Fax:650-581-1187
Practice Address - Street 1:1604 FORD AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4631
Practice Address - Country:US
Practice Address - Phone:209-369-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health