Provider Demographics
NPI:1922830256
Name:VINEYARDS HOSPICE INC
Entity type:Organization
Organization Name:VINEYARDS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARMANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:557-778-6558
Mailing Address - Street 1:4848 N 1ST ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0526
Mailing Address - Country:US
Mailing Address - Phone:557-778-6558
Mailing Address - Fax:559-550-0382
Practice Address - Street 1:4848 N 1ST ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0526
Practice Address - Country:US
Practice Address - Phone:557-778-6558
Practice Address - Fax:559-550-0382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based