Organization Active NPI

Anodyne Hospice Care Inc

  • Community Based Hospice Care Agency
  • Fremont, CA
National Provider Identifier
1477163798
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANODYNE HOSPICE CARE INC
Practice address
39111 Paseo Padre Pkwy Ste 304
Fremont, CA 94538-1685
Phone
(925) 968-5392
Fax
(925) 523-3876
NPI assigned
Aug 1, 2020
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Jeff Bradbury
Title
Owner
Phone
(925) 968-5392

Specialties & licenses 1

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

Addresses

Primary practice location

39111 Paseo Padre Pkwy Ste 304
Fremont, CA 94538-1685

Mailing address

39111 Paseo Padre Pkwy Ste 304
Fremont, CA 94538-1685
Phone (925) 968-5392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210216003236 CA Part A Provider - Hospice 8820403280 Practice locations: Fremont, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477163798. Details of each certification follow.

Hospice certification: CCN A11780

Legal name
ANODYNE HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 2021
Last certification
May 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 19, 2020 in CA
Enrollment address
39111 Paseo Padre Pkwy
Ste 304
Fremont, CA 94538-1685

Care Compare: Hospice

Medicare Care Compare
Listed as
Anodyne Hospice Care LLCCCN A11780 · All quality measures
Ownership
For-Profit
Certified
May 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2223271Anodyne Hospice Care Inc39111 Paseo Padre Pkwy Ste 316, Fremont, CA 94538Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

39111 Paseo Padre Pkwy
Ste 304
Fremont, CA 94538
Phone (925) 968-5392

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeff Bradbury Individual 5% Or Greater Direct Ownership InterestOwner Jun 19, 2020 100%
Corporate OfficerPresident Jun 19, 2020 100%
W-2 Managing EmployeeAdministrator Jun 19, 2020 100%
Estelita L Carandang Individual W-2 Managing EmployeeMD; Jun 20, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1477163798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39111 PASEO PADRE PKWY STE 304",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381685",
            "telephone_number": "925-968-5392",
            "fax_number": "925-523-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39111 PASEO PADRE PKWY STE 304",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381685",
            "telephone_number": "925-968-5392",
            "fax_number": "925-523-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-01",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-968-5392"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.