SONOMA SPECIALTY HOSPITAL, LLC (NPI# 1396205050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396205050 |
| Entity Type | Organization |
| Organization Name | SONOMA SPECIALTY HOSPITAL, LLC |
| Practice Address |
501 Petaluma Ave Sebastopol CA 95472-4215 |
| Practice Telephone | 7078238511 |
| Mailing Telephone | 7078238511 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | MRS. TAMMY JEAN THOMPSON (CFO VP FINANCE/OPERATIONS) |
| Authorized Official Telephone | 2092487851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Street Address |
501 PETALUMA AVE |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068048 | Kathryn Mae Farrar | Registered Nurse | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2006-03-24 |
| 1861041188 | Kathleen Coffey | Occupational Therapist | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2019-09-09 |
| 1083111298 | Jennifer Frendo | Speech-Language Pathologist | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2018-04-12 |
| 1770940561 | Greenbriar Emergency Physicians Medical Group, Inc. | Emergency Medicine | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2016-01-25 |
| 1831443878 | Valerie Helen Takes | Nurse Practitioner | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2012-10-29 |
| 1194087114 | Aram Rahimi | Pharmacist | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2012-06-14 |
| 1548553548 | Jill Johnson | Dietitian, Registered | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2011-05-24 |
| 1053634725 | Palm Drive Health Care District | General Acute Care Hospital | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2010-03-09 |
| 1851614523 | Palm Drive Health Care District | General Acute Care Hospital | 501 Petaluma Ave, Department of Er, Sebastopol, CA 95472-4215 | 2010-03-09 |
| 1588873822 | Palm Drive Health Care District | Medicare Defined Swing Bed Unit | 501 Petaluma Ave, Sebastopol, CA 95472-4215 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
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|---|---|---|---|---|
| 1033766282 | Odedra Enterprises, Inc. | Long Term Care Hospital | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2019-08-22 |
| 1063916534 | Labri, Inc | Long Term Care Hospital | 26491 Aracena Dr, Mission Viejo, CA 92691-5101 | 2018-03-20 |
| 1194118554 | Raquel Cabrera | Long Term Care Hospital | 662 Kempton St, Spring Valley, CA 91977-5016 | 2015-03-10 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1922363209 | Valley Medical Center | Long Term Care Hospital | 21490 Columbus Ave, Cupertino, CA 95014-4971 | 2012-07-12 |
| 1679848808 | Therapists Unlimited | Long Term Care Hospital | 367 Eastridge Dr, San Ramon, CA 94582-4912 | 2012-03-21 |
| 1134493463 | Centinela Hospital Medical Center | Long Term Care Hospital | 120 South Reno St Unit 347, Los Angeles, CA 90057 | 2012-03-05 |
| 1891086914 | Divine Medical Supply, Incorporated | Long Term Care Hospital | 285 S Gilbert St, Fullerton, CA 92833-2908 | 2011-04-23 |
| 1215247978 | Knd Development 53, L.L.C. | Long Term Care Hospital | 1246 W. 155th St, Gardena, CA 90247-4011 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
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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.