SUNCREST HOSPICE SAN JOSE LLC NPI 1124368808

NPI Information

NPI: 1124368808
Provider Name: SUNCREST HOSPICE SAN JOSE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2067012

Address:
3215 SKYWAY CT
FREMONT, CA
ZIP 94539
Phone: (408) 900-8838
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SUNCREST HOSPICE SAN JOSE LLC is a hospice care community based in Fremont, CA. SUNCREST HOSPICE SAN JOSE LLC NPI is 1124368808. The provider is registered as an organization entity type.

The provider's business location address is:

3215 SKYWAY CT
FREMONT, CA
ZIP 94539-951
Phone: (408) 900-8838

The provider's authorized official is Sarah Eileen Nielsen .
The authorized official title is Paralegal and has the following contact phone number (435) 610-2285.

The CLIA number assigned to this NPI record is 05D2067012 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2013 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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