BLOSSOM RIDGE HOSPICE BAY AREA, LLC (NPI# 1023679685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023679685 |
| Entity Type | Organization |
| Organization Name | BLOSSOM RIDGE HOSPICE BAY AREA, LLC |
| Practice Address |
1800 Sutter St Ste 420b Concord CA 94520-2563 |
| Mailing Address |
520 9th St Ste 240 Sacramento CA 95814-1327 |
| Practice Telephone | 8009916147 |
| Practice Fax Number | 9163827683 |
| Mailing Telephone | 8009916147 |
| Mailing Fax Number | 9163827683 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | MR. JOHN SARUWATARI (CFO) |
| Authorized Official Telephone | 8009916147 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLOSSOM RIDGE HOME HEALTH AGENCY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1800 SUTTER ST STE 420B |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615622 | Jdtje Corporation | Hospice Care, Community Based | 3135 Clayton Rd, Suite 103, Concord, CA 94519-2796 | 2019-08-22 |
| 1720545122 | Doctor's Preferred Home Health Inc | Hospice Care, Community Based | 4415 Cowell Rd Ste 141, Concord, CA 94518-1997 | 2019-02-22 |
| 1255897237 | Aveem, Inc. | Hospice Care, Community Based | 2520 Stanwell Dr Ste 100, Concord, CA 94520-4819 | 2019-02-14 |
| 1720505936 | Waterfront Healthcare, Inc. | Hospice Care, Community Based | 2300 Clayton Rd Ste 1220, Concord, CA 94520-2100 | 2017-08-28 |
| 1871920587 | Md Choice Hospice Inc | Hospice Care, Community Based | 4415 Cowell Rd Ste 140, Concord, CA 94518-1947 | 2013-09-27 |
| 1710157987 | Evercare Hospice, Inc. | Hospice Care, Community Based | 2300 Clayton Rd, Suite 1000, Concord, CA 94520-2100 | 2008-03-04 |
| 1053519272 | Beacon Hospice, LLC | Hospice Care, Community Based | 70 Commercial St, 4th Floor, Concord, NH 03301-5094 | 2007-07-10 |
| 1366494502 | In Home Health LLC | Hospice Care, Community Based | 901 Sunvalley Blvd, Suite 220b, Concord, CA 94520-5899 | 2006-05-16 |
| 1508271388 | Sojourn Hospice & Palliative Care -east Bay, LLC. | Hospice Care, Community Based | 1320 Willow Pass Rd, Suite 420, Concord, CA 94520-5232 | 2014-06-30 |
| 1427081256 | Sutter Visiting Nurse Association and Hospice | Hospice Care, Community Based | 1900 Bates Ave, Suite A, Concord, CA 94520-8587 | 2006-07-07 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on BLOSSOM RIDGE HOSPICE BAY AREA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.