EASTERN PLUMAS HEALTH CARE HOME HEALTH (NPI# 1043216849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043216849 |
| Entity Type | Organization |
| Organization Name | EASTERN PLUMAS HEALTH CARE HOME HEALTH |
| Practice Address |
500 1st Ave Portola CA 96122-9406 |
| Practice Telephone | 5308326500 |
| Mailing Telephone | 5308326500 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MS. JERILEE NELSON (CFO) |
| Authorized Official Telephone | 5308326578 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 230000014 | CA | Agencies |
| Y | 251E00000X | Home Health | 057727 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD HOME HEALTH | ZZZ45177Z | 01 |
| CA | HHA07727F | 05 |
| Street Address |
500 1ST AVE |
| City | PORTOLA |
| State | CA |
| Zip Code | 96122-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600920 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-23 |
| 1578075727 | Patricia Foley | Marriage & Family Therapist | 500 1st Ave, Portola, CA 96122-9406 | 2017-10-27 |
| 1780881490 | Lino A. Dial | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2007-06-27 |
| 1396705067 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-25 |
| 1215996699 | Lovsho Phen | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-22 |
| 1760467443 | Charles G. Cox | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-12-14 |
| 1316945249 | Paul Swanson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-13 |
| 1437157914 | Kenneth Robinson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-08 |
| 1285632729 | Jeffrey Davis | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-08 |
| 1811994569 | Mark Boettger | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282810 | County of Plumas | Clinic/Center | 280 W. Sierra Street, Portola, CA 96122 | 2018-04-16 |
| 1033262548 | Sands Travelers Pt, Inc. | Specialist | 72795 S Delleker, Portola, CA 96122 | 2007-01-19 |
| 1326535352 | County of Plumas | Clinic/Center | 372 Main Street, Chester, CA 96122 | 2018-04-16 |
| 1467617332 | Richard D Hungerford | Chiropractor | 76466 Meadow Way, Portola, CA 96122-5100 | 2008-07-21 |
| 1114079035 | Richard Gepford | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-01-18 |
| 1891997037 | Jamie P Willmore | Physical Therapist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-06-01 |
| 1750416186 | Jeanne Kessler | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-02-23 |
| 1376785121 | Michael Scott Trenner | Respiratory Therapist, Registered | 545 Fourth St, Portola, CA 96122-7601 | 2009-03-25 |
| 1962688572 | Jeanne M. Harper | Occupational Therapist | 7332 Lake Davis Rd, Portola, CA 96122-8012 | 2008-01-14 |
| 1750481594 | Mario G. Garibotti | Dentist | 145 N Pine St, Portola, CA 96122-8415 | 2006-09-22 |
| Find all providers in zip 96122 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
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| 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.