ABREA TILLMAN (NPI# 1295284248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295284248 |
| Entity Type | Organization |
| Organization Name | ABREA TILLMAN |
| Practice Address |
215 Regency Ct Santa Rosa CA 95401-9011 |
| Practice Telephone | 4159007489 |
| Mailing Telephone | 4159007489 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | ABREA TILLMAN (MANAGER) |
| Authorized Official Telephone | 4159007489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
215 REGENCY CT |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-9011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070852 | Signature Health Supplies | Durable Medical Equipment & Medical Supplies | 5510 Skylane Blvd Ste 101a, Santa Rosa, CA 95403-1029 | 2020-07-22 |
| 1013531920 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 5550 Skylane Blvd Ste G, Santa Rosa, CA 95403-1072 | 2020-06-05 |
| 1215183496 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 955 Stony Point Road, Santa Rosa, CA 95407-4728 | 2008-08-07 |
| 1497948780 | Richard M Wilcox | Durable Medical Equipment & Medical Supplies | 2322 Midway Dr, Santa Rosa, CA 95405 | 2007-08-21 |
| 1720137649 | Sonoma Surgical A Corp | Durable Medical Equipment & Medical Supplies | 4975 Sonoma Hwy, Santa Rosa, CA 95409-4240 | 2007-01-09 |
| 1265539217 | Mobility Masters Northern California Inc. | Durable Medical Equipment & Medical Supplies | 1575 Farmers Lane, Santa Rosa, CA 95405-7525 | 2006-09-20 |
| 1487763900 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1793 Marlow Road, Santa Rosa, CA 95401-4474 | 2006-08-29 |
| 1083728877 | The Spalding Group Inc | Durable Medical Equipment & Medical Supplies | 750 Mendocino Ave, #9, Santa Rosa, CA 95401 | 2006-08-18 |
| 1629086970 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 3663 N Laughlin Rd Ste 103, Santa Rosa, CA 95403-9067 | 2006-08-03 |
| 1043225329 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3093 Marlow Rd, Santa Rosa, CA 95403-2426 | 2006-07-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on ABREA TILLMAN.
| 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.