Provider Demographics
NPI:1487250841
Name:PIGEON HOLLOW INC.
Entity type:Organization
Organization Name:PIGEON HOLLOW INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-300-2273
Mailing Address - Street 1:33 PIGEON HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-2345
Mailing Address - Country:US
Mailing Address - Phone:415-999-4400
Mailing Address - Fax:
Practice Address - Street 1:777 GRAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3509
Practice Address - Country:US
Practice Address - Phone:415-300-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care