Active NPI
Freedom Hospice of the Bay LLC
- Community Based Hospice Care Agency
- Fremont, CA
National Provider Identifier
1811668734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FREEDOM HOSPICE OF THE BAY LLC
- Practice address
- 680 Mowry Ave Ste B
Fremont, CA 94536-4113 - Phone
- (510) 983-2800
- Fax
- (510) 983-2801
- NPI assigned
- Sep 21, 2021
- 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
- Harsharan Bains
- Title
- Managing Member
- Phone
- (530) 844-2855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
680 Mowry Ave Ste B
Fremont, CA 94536-4113
Mailing address
PO Box 671
Marysville, CA 95901-0018
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Hospice LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Napa, CA
- NPI 1710658638
Locations
680 Mowry Ave
Ste B
Fremont, CA 94536
Phone (510) 983-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633392000000",
"number": "1811668734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959010018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 MOWRY AVE STE B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364113",
"telephone_number": "510-983-2800",
"fax_number": "510-983-2801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM HOSPICE OF THE BAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-21",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A",
"authorized_official_last_name": "BAINS",
"authorized_official_first_name": "HARSHARAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "530-844-2855"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"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 Oct 5, 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.