AMARA HOSPICE LLC NPI 1114190816

NPI Information

NPI: 1114190816
Provider Name: AMARA HOSPICE LLC

Doing Business As: BRIDGE HOSPICE BAY AREA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
46723 FREMONT BLVD
FREMONT, CA
ZIP 94538
Phone: (888) 973-1499
Get Directions

AMARA HOSPICE LLC is a hospice care community based in Fremont, CA. AMARA HOSPICE LLC NPI is 1114190816. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Hospice Bay Area.

The provider's business location address is:

46723 FREMONT BLVD
FREMONT, CA
ZIP 94538-539
Phone: (888) 973-1499

The provider's authorized official is Jeff Mongonia .
The authorized official title is Ceo and has the following contact phone number (858) 251-4242.

The CLIA number assigned to this NPI record is 05D2127838 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/1/2024.

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		550001133	CALIFORNIA	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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