ST. JOSEPH HOME CARE NETWORK (NPI# 1174065809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174065809 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HOME CARE NETWORK |
| Practice Address |
416 Payran St Petaluma CA 94952-5907 |
| Mailing Address |
1111 Sonoma Ave Suite 308 Santa Rosa CA 95405-4819 |
| Practice Telephone | 7077786242 |
| Practice Fax Number | 7077780144 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Authorized Official Name | MR. MARK PROVAN (REGIONAL VP, POST-ACUTE SERVICES) |
| Authorized Official Telephone | 7075756623 |
| Authorized Official Credential | MS, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617978 | St. Joseph Home Care Network | Family Medicine | 447 College Ave, Santa Rosa, CA 95401-5141 | 2020-04-09 |
| 1710015987 | St. Joseph Home Care Network | Home Health | 721 E St, Eureka, CA 95501-1854 | 2007-03-01 |
| 1801981634 | St. Joseph Home Care Network | Home Infusion | 441 College Ave, Santa Rosa, CA 95401-5141 | 2006-10-04 |
| 1083709919 | St. Joseph Home Care Network | Home Infusion | 980 Trancas Street, Suite 9, Napa, CA 94558 | 2006-10-04 |
| 1144315052 | St. Joseph Home Care Network | Home Health | 2127 Harrison Avenue #3, Eureka, CA 95501 | 2006-10-04 |
| Street Address |
416 PAYRAN ST |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770188 | Srm Alliance Hospital Services | Hospice, Inpatient | 416 Payran St, Petaluma, CA 94952-5907 | 2005-09-13 |
| 1467919050 | Adrienne C Bragdon | Counselor | 416 Payran St, Petaluma, CA 94952-5907 | 2019-03-01 |
| 1184681165 | Scott W. Eberle | Family Medicine | 416 Payran St, Petaluma, CA 94952-5907 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649780685 | Continuum Care North Bay, LLC | Hospice Care, Community Based | 5401 Old Redwood Hwy Ste 110, Petaluma, CA 94954-7128 | 2017-10-04 |
| 1932438504 | Debra Grant | Hospice Care, Community Based | 91 Valley View Dr, Petaluma, CA 94952-1039 | 2009-12-10 |
| 1043353196 | Vitas Healthcare Corporation California | Hospice Care, Community Based | 3700 Lakeville Hwy, Suite 205, Petaluma, CA 94954-5671 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1528669207 | La Vida Care Hospice Inc | Hospice Care, Community Based | 6309 Van Nuys Blvd Ste 106, Van Nuys, CA 91401-6613 | 2020-11-08 |
| 1588265276 | Santa Rita Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 22, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1477154169 | Prime Plus Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 23, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1275134967 | Valley Hospice Care Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 24, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
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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.