Provider Demographics
NPI:1578384822
Name:HOPEFULMINDS PALLIATIVE & HOSPICE
Entity type:Organization
Organization Name:HOPEFULMINDS PALLIATIVE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNET
Authorized Official - Middle Name:
Authorized Official - Last Name:MUGISHA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MPH
Authorized Official - Phone:909-263-4889
Mailing Address - Street 1:26456 VALENCIA WAY
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-6119
Mailing Address - Country:US
Mailing Address - Phone:909-263-4889
Mailing Address - Fax:
Practice Address - Street 1:2034 E SOUTHERN AVE STE U
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7519
Practice Address - Country:US
Practice Address - Phone:650-420-9888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No385H00000XRespite Care FacilityRespite Care