Provider Demographics
NPI:1649638396
Name:HOLISTIC PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:HOLISTIC PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT PERSON
Authorized Official - Prefix:
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENETRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-285-7800
Mailing Address - Street 1:5707 REDWOOD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2400
Mailing Address - Country:US
Mailing Address - Phone:510-285-7800
Mailing Address - Fax:510-298-0001
Practice Address - Street 1:5707 REDWOOD RD STE 1
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2400
Practice Address - Country:US
Practice Address - Phone:510-285-7800
Practice Address - Fax:510-298-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based