MOON AND BACK HOSPICE CARE INC. NPI 1417530395

NPI Information

NPI: 1417530395
Provider Name: MOON AND BACK HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2828 MILLS PARK DR STE F
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 777-0018
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MOON AND BACK HOSPICE CARE, INC. is a hospice care community based in Rancho Cordova, CA. MOON AND BACK HOSPICE CARE, INC. NPI is 1417530395. The provider is registered as an organization entity type.

The provider's business location address is:

2828 MILLS PARK DR STE F
RANCHO CORDOVA, CA
ZIP 95670-711
Phone: (916) 777-0018

The provider's authorized official is Artavazd Gevorgyan .
The authorized official title is Ceo and has the following contact phone number (916) 777-0018.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 4/29/2021.

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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