Provider Demographics
NPI:1740845346
Name:DIRECT HOSPICE CARE, INC.
Entity type:Organization
Organization Name:DIRECT HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:669-400-1137
Mailing Address - Street 1:4701 PATRICK HENRY DR STE M
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1819
Mailing Address - Country:US
Mailing Address - Phone:669-400-1137
Mailing Address - Fax:669-500-7411
Practice Address - Street 1:11700 DUBLIN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2824
Practice Address - Country:US
Practice Address - Phone:925-364-7342
Practice Address - Fax:669-500-7411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based