SHASTA FAMILY HEALTH CARE SERVICES (NPI# 1205488731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205488731 |
| Entity Type | Organization |
| Organization Name | SHASTA FAMILY HEALTH CARE SERVICES |
| Practice Address |
2350 Balls Ferry Rd Ste A Anderson CA 96007-3598 |
| Practice Telephone | 5303785283 |
| Practice Fax Number | 5303785284 |
| Mailing Telephone | 5303785283 |
| Mailing Fax Number | 5303785284 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | ANGELICA CORTEZ (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 5303785283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Shasta Family Health Care Services | Doing Business As Name - Organization |
| Street Address |
2350 BALLS FERRY RD STE A |
| City | ANDERSON |
| State | CA |
| Zip Code | 96007-3598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780948497 | Marilee Ruth King | Veterinarian | 3100 W Center St, Anderson, CA 96007 | 2012-06-27 |
| 1881821064 | William Martin Reuss Iv | Dentist | 1930 North Barney St., Anderson, CA 96007 | 2009-06-16 |
| 1063676898 | Adriana Elia Vazquez | Licensed Vocational Nurse | 7175 Eastsidee Rd, Anderson, CA 96007 | 2008-07-10 |
| 1730211103 | Danene Renee Mercill | Dentist | 2817 Childress Rd, Anderson, CA 96007 | 2007-03-12 |
| 1750457388 | Debra Marie Wright | Family Medicine | 2830 East Street, Anderson, CA 96007 | 2006-11-27 |
| 1346315538 | Susan Frances Capella | Occupational Therapist | 3300 Franklin St, Anderson, CA 96007 | 2006-11-22 |
| 1205917127 | Walmart Stores, Inc. | Technician/Technologist | 5000 Rhonda Road, Anderson, CA 96007 | 2006-10-18 |
| 1063527372 | Steven Edward Ahrens | Dentist | 1901 Barney Rd, Anderson, CA 96007 | 2006-08-20 |
| 1255340568 | Paul C Davainis | Family Medicine | 2965 East St, Anderson, CA 96007 | 2006-08-05 |
| 1700137882 | Roberta Ann Samples | Registered Nurse | 2830 East St, Anderson, CA 96007 | 2012-09-28 |
| Find all providers in zip 96007 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087748 | Moses V Lee | Home Health | 210 N Mcduffie St Ste Ll2, Anderson, SC 29621-5646 | 2019-01-16 |
| 1144702523 | No Place Like Home Home Health Care LLC | Home Health | 2637 Enterprise Dr, Anderson, IN 46013-9684 | 2018-09-03 |
| 1639679681 | Healing Hands Home Health | Home Health | 216 E 9th St, Anderson, IN 46016-1512 | 2018-02-16 |
| 1023524659 | Loving Hands Home Care Services | Home Health | 2318 N Main St, Anderson, SC 29621-3876 | 2017-12-19 |
| 1639688062 | Admiral Medical Home Health Inc | Home Health | 5730 Dr Martin Luther King Jr Blvd, Anderson, IN 46013-9789 | 2017-09-28 |
| 1124562806 | Home Healthcare Heroes LLC | Home Health | 3310 Main St, Suite E1, Anderson, IN 46013-4264 | 2016-12-14 |
| 1215389986 | Convergence Home Healthcare Services | Home Health | 1612 Drexel Dr, Anderson, IN 46011-3117 | 2016-07-06 |
| 1992160246 | Chelse Newton | Home Health | 2315 N Main St Ste 223, Anderson, SC 29621-3880 | 2015-12-30 |
| 1487025292 | Lasherrie Johnson | Home Health | 1605 Sansbury Dr, Anderson, SC 29621-7137 | 2015-10-20 |
| 1386020147 | Premier Home Health Inc | Home Health | 3300 N Main St # 190, Anderson, SC 29621-4128 | 2015-08-04 |
| Find all providers in ANDERSON | ||||
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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.