Active NPI
Anodyne Hospice Care Inc
- Community Based Hospice Care Agency
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- 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
- Jeff Bradbury
- Title
- Owner
- Phone
- (925) 968-5392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 LLC
- Ownership
- For-Profit
- Certified
- May 17, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2223271 | Anodyne Hospice Care Inc | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeff Bradbury | 5% Or Greater Direct Ownership Interest | Jun 19, 2020 | 100% |
| Corporate Officer | Jun 19, 2020 | 100% | |
| W-2 Managing Employee | Jun 19, 2020 | 100% | |
| Estelita L Carandang | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- San Jose, CA
- NPI 1255473757
W-2 Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.