Provider Demographics
NPI:1295277192
Name:HEALTHFLEX HOSPICE
Entity type:Organization
Organization Name:HEALTHFLEX HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSHEVATSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-553-1900
Mailing Address - Street 1:7677 OAKPORT ST STE 920
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1929
Mailing Address - Country:US
Mailing Address - Phone:650-825-2802
Mailing Address - Fax:
Practice Address - Street 1:303 HEGENBERGER RD STE 388
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1419
Practice Address - Country:US
Practice Address - Phone:510-553-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based