Active NPI
Elixir Home Health Care & Hospice, Inc.
- Home Health Agency
- Modesto, CA
National Provider Identifier
1023762648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELIXIR HOME HEALTH CARE & HOSPICE, INC.
- Practice address
- 1604 Ford Ave
Suite 10
Modesto, CA 95350-4631 - Phone
- (209) 369-5110
- NPI assigned
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Warren S Delfin
- Title
- Ceo/President
- Phone
- (650) 201-6025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1604 Ford Ave
Suite 10
Modesto, CA 95350-4631
Mailing address
851 Burlway Rd
Suite 216
Burlingame, CA 94010-1709
Phone (650) 581-1359
National Provider Directory
National Provider Directory- Tax ID family
- Elixir Home Health Care Hospiceinc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Modesto, CA
- NPI 1063025021
-
- Home Health Agency
- Lodi, CA
- NPI 1114302742
-
- Community Based Hospice Care Agency
- Lodi, CA
- NPI 1467837096
Locations
1420 W Kettleman Ln
Lodi, CA 95242
Phone (209) 368-0619
1604 Ford Ave
Ste 10
Modesto, CA 95350
Phone (209) 369-5110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1023762648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 BURLWAY RD",
"address_2": "SUITE 216",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940101709",
"telephone_number": "650-581-1359",
"fax_number": "650-581-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 FORD AVE",
"address_2": "SUITE 10",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504631",
"telephone_number": "209-369-5110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIXIR HOME HEALTH CARE & HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A",
"authorized_official_last_name": "DELFIN",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "650-201-6025",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.