1023011178 NPI number — HOSPICE OF NAPA VALLEY, INC

Employer Identification Number (EIN)	:
Provider Organization Name (Legal Business Name)	:	HOSPICE OF NAPA VALLEY, INC
Provider Last Name (Legal Name)	:
Provider First Name	:
Provider Middle Name	:
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NPI Number	:	1023011178
Entity Type Code	:	Organization
Replacement NPI	:
Last Update Date	:	07/09/2007
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Provider First Line Business Mailing Address	:	414 S JEFFERSON ST
Provider Second Line Business Mailing Address	:
Provider Business Mailing Address City Name	:	NAPA
Provider Business Mailing Address State Name	:	CA
Provider Business Mailing Address Postal Code	:	945594515
Provider Business Mailing Address Country Code	:	US
Provider Business Mailing Address Telephone Number	:	7072589080
Provider Business Mailing Address Fax Number	:	7072544157

Provider First Line Business Practice Location Address	:	414 S JEFFERSON ST
Provider Second Line Business Practice Location Address	:
Provider Business Practice Location Address City Name	:	NAPA
Provider Business Practice Location Address State Name	:	CA
Provider Business Practice Location Address Postal Code	:	945594515
Provider Business Practice Location Address Country Code	:	US
Provider Business Practice Location Address Telephone Number	:	7072589080
Provider Business Practice Location Address Fax Number	:	7072544157
Provider Enumeration Date	:	05/23/2005

Authorized Official Last Name	:	BYRNE
Authorized Official First Name	:	PAMELA
Authorized Official Middle Name	:	RUTH
Authorized Official Title or Position	:	ASSISTANT EXECUTIVE DIRECTOR
Authorized Official Telephone Number	:	7072589080

• Taxonomy code: 251G00000X , registered in the state of CA .

• Identifier: 051537 . This is a "HOSPICE MEDICARE NO" identifier , issued by the state of ( CA ) . This identifiers is of the category "".
• Identifier: HPC01537G , issued by the state of ( CA ) . This identifiers is of the category "".