Provider Demographics
NPI:1841679610
Name:LIFECARE SOLUTIONS PALLIATIVE AND HOSPICE LLC
Entity type:Organization
Organization Name:LIFECARE SOLUTIONS PALLIATIVE AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-573-2523
Mailing Address - Street 1:39675 CEDAR BLVD
Mailing Address - Street 2:SUITE 240 B
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5489
Mailing Address - Country:US
Mailing Address - Phone:510-573-2523
Mailing Address - Fax:187-721-7708
Practice Address - Street 1:7567 AMADOR VALLEY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2442
Practice Address - Country:US
Practice Address - Phone:510-573-2523
Practice Address - Fax:877-217-7087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based