Provider Demographics
NPI:1871589911
Name:HOFFMANN HOSPICE OF THE VALLEY INC
Entity type:Organization
Organization Name:HOFFMANN HOSPICE OF THE VALLEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-410-1010
Mailing Address - Street 1:4325 BUENA VISTA RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8701
Mailing Address - Country:US
Mailing Address - Phone:661-410-1010
Mailing Address - Fax:661-381-2215
Practice Address - Street 1:8501 BRIMHALL RD
Practice Address - Street 2:BUILDING 100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2252
Practice Address - Country:US
Practice Address - Phone:661-410-1010
Practice Address - Fax:661-410-1048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01646GMedicaid
CAHPC01646GMedicaid