Organization · Type 2 NPI

In Home Health LLC

Community Based Hospice Care Agency · Santa Clara, CA

NPI number 1093769341 Active

Practice location

2005 De La Cruz Blvd Ste 271
Santa Clara, CA 95050-3031

Call (408) 450-7850 Map

Fax (408) 986-8282

Mailing address

333 N Summit St, Attn: Dean Shipman
Toledo, OH 43604-2615

Other practice locations

1575 Bayshore Hwy Ste 200, Burlingame, CA 94010-1616 · (650) 653-0440

Specialties and licenses

Taxonomy	Code	License
Hospice and Palliative Medicine (Internal Medicine) Physician	207RH0002X	None listed
Community Based Hospice Care Agency Primary	251G00000X	070000419 (CA)

Community Based Hospice Care Agency: Definition to come...

2 other providers at this address

Other community based hospice care agency providers in Santa Clara

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NPI record

NPI: 1093769341
Entity type: Organization (Type 2)
Issued: May 20, 2006
Last updated: Apr 15, 2022
Status: Active

Other names

<unavail>
Promedica Hospice (burlingame) · doing business as
Promedica Hospice (santa Clara) · doing business as
Promedica Hospice (santa Clara) · doing business as

Authorized official

Mr. Martin D Allen
Director
(419) 252-5734

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093769341

In Home Health LLC's National Provider Identifier is 1093769341, issued on May 20, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Santa Clara, CA. The record was last updated on Apr 15, 2022.