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ST. MARY'S HOSPICE SERVICES INC. NPI 1184972713


NPI Information

NPI: 1184972713
Provider Name: ST. MARY'S HOSPICE SERVICES, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D1013787

Address:
3180 E SHIELDS AVE
SUITE 105A
FRESNO, CA
ZIP 93726
Phone: (559) 221-9919
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ST. MARY'S HOSPICE SERVICES, INC. is a hospice care community based in Fresno, CA. ST. MARY'S HOSPICE SERVICES, INC. NPI is 1184972713. The provider is registered as an organization entity type.

The provider's business location address is:

3180 E SHIELDS AVE
SUITE 105A
FRESNO, CA
ZIP 93726-900
Phone: (559) 221-9919

The provider's authorized official is Svetlana Krboyan .
The authorized official title is President/ceo and has the following contact phone number (559) 221-9919.

The CLIA number assigned to this NPI record is 05D1013787 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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: 11/14/2023

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