| Organization Name: | HOSPICE OF AMADOR & CALAVERAS |
| NPI Number: | 1235111097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAN J RIORDAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1500 S State Highway 49 Suite 205 Jackson |
| State: | CA US |
| Postal Code: | 956422652 |
| Phone Number: | 2092235500 |
| Fax Number: | 2092233752 |
| NPI Enumeration Date: | 11/17/2005 |
| NPI Last Update Date: | 06/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |