Provider Demographics
NPI:1831611409
Name:ONE HEALTH HOSPICE, INC.
Entity type:Organization
Organization Name:ONE HEALTH HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ASIB
Authorized Official - Middle Name:
Authorized Official - Last Name:ILYAS
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:510-456-8065
Mailing Address - Street 1:2133 LAS POSITAS CT STE J
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-9774
Mailing Address - Country:US
Mailing Address - Phone:925-292-4448
Mailing Address - Fax:925-292-4776
Practice Address - Street 1:2133 LAS POSITAS CT STE J
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9774
Practice Address - Country:US
Practice Address - Phone:925-292-4448
Practice Address - Fax:925-292-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based