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MISSION HOSPICE OF SAN MATEO COUNTY NPI 1831772359


NPI Information

NPI: 1831772359
Provider Name: MISSION HOSPICE OF SAN MATEO COUNTY

Doing Business As: MISSION HOSPICE & HOME CARE, INC.

Classification: Internal Medicine - 207RH0002X
Entity Type: Organization

Specialization: Hospice and Palliative Medicine

CLIA Number: 05D0904120

Address:
66 BOVET RD STE 100
SAN MATEO, CA
ZIP 94402
Phone: (650) 554-1000
Get Directions

MISSION HOSPICE OF SAN MATEO COUNTY is a hospice and palliative medicine internal medicine in San Mateo, CA. The provider is an internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. MISSION HOSPICE OF SAN MATEO COUNTY NPI is 1831772359. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Hospice & Home Care, Inc..

The provider's business location address is:

66 BOVET RD STE 100
SAN MATEO, CA
ZIP 94402-126
Phone: (650) 554-1000
Fax: (650) 554-1001

The provider's authorized official is Alex Ignacio .
The authorized official title is Chief Administrative Officer and has the following contact phone number (650) 554-1000.

The CLIA number assigned to this NPI record is 05D0904120 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2021 and was last updated on 1/30/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2207RH0002XInternal MedicineHospice and Palliative MedicineYes

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
1051665MEDICAIDCALIFORNIA
2CA502834MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.