Organization
EVENTIDE HEALTHCARE LLC
Active
Other names
Eventide Healthcare, Renew Care Staff, Pacific Senior Advisors
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER ROBERT LEISHMAN (PRESIDENT)
(925) 478-7670
Entity
Organization
Contact information
Practice address
5129 LONE TREE WAY, ANTIOCH, CA 94531-8484
(925) 478-7670
Mailing address
5129 LONE TREE WAY, ANTIOCH, CA 94531-8484
(925) 478-7670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
10/11/2024
Last updated
05/21/2026
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