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HOSPICE OF SANTA CRUZ COUNTY NPI 1760454672


NPI Information

NPI: 1760454672
Provider Name: HOSPICE OF SANTA CRUZ COUNTY
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2267936

Address:
940 DISC DR
SCOTTS VALLEY, CA
ZIP 95066
Phone: (831) 430-3000
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HOSPICE OF SANTA CRUZ COUNTY is a hospice care community based in Scotts Valley, CA. HOSPICE OF SANTA CRUZ COUNTY NPI is 1760454672. The provider is registered as an organization entity type.

The provider's business location address is:

940 DISC DR
SCOTTS VALLEY, CA
ZIP 95066-544
Phone: (831) 430-3000
Fax: (831) 430-9274

The provider's authorized official is Catherine Conway .
The authorized official title is Ceo and has the following contact phone number (831) 430-3000.

The CLIA number assigned to this NPI record is 05D2267936 - other - govt employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 2/8/2022.


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 Based070000246CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HPC01526FMEDICAIDCALIFORNIA

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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