Organization Active NPI

San Francisco Health Care Hospice

  • Community Based Hospice Care Agency
  • San Francisco, CA
National Provider Identifier
1063094738
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAN FRANCISCO HEALTH CARE HOSPICE
Practice address
1477 Grove St Ste 104
San Francisco, CA 94117-1421
Phone
(415) 404-6525
Fax
(415) 985-2121
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stan Stukov
Title
President
Phone
(415) 404-6525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1477 Grove St Ste 104
San Francisco, CA 94117-1421

Mailing address

1477 Grove St Ste 104
San Francisco, CA 94117-1421
Phone (415) 404-6525

National Provider Directory

National Provider Directory

Locations

1477 Grove St
Ste 104
San Francisco, CA 94117
Phone (415) 404-6525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1063094738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 GROVE ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171421",
            "telephone_number": "415-404-6525",
            "fax_number": "415-985-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 GROVE ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171421",
            "telephone_number": "415-404-6525",
            "fax_number": "415-985-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO HEALTH CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "STUKOV",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-404-6525"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.