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PROCARE HOSPICE LLC NPI 1558541789


NPI Information

NPI: 1558541789
Provider Name: PROCARE HOSPICE, LLC

Doing Business As: TRADITIONS HEALTH

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

CLIA Number: 05D1078429

Address:
5500 MING AVENUE
#190
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 864-0490
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PROCARE HOSPICE, LLC is a hospice care community based in Bakersfield, CA. PROCARE HOSPICE, LLC NPI is 1558541789. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Health.

The provider's business location address is:

5500 MING AVENUE
#190
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 864-0490
Fax: (661) 864-0754

The provider's authorized official is David R Klementz .
The authorized official title is President & Ceo and has the following contact phone number (979) 704-6547.

The CLIA number assigned to this NPI record is 05D1078429 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 9/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based550000707CALIFORNIAYes

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

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