SPECTRUM SENIORS LLC (NPI# 1417441791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417441791 |
| Entity Type | Organization |
| Organization Name | SPECTRUM SENIORS LLC |
| Practice Address |
725 Patricia Ave San Mateo CA 94401-3146 |
| Mailing Address |
951 Mariners Island Blvd Ste 300 San Mateo CA 94404-1560 |
| Practice Telephone | 5088596006 |
| Mailing Telephone | 6508859600 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MRS. GRACE HAN LIU REYES (FOUNDER) |
| Authorized Official Telephone | 6508859600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 414700066 | CA | Agencies |
| Street Address |
725 PATRICIA AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843115 | Magnusson Enterprises LLC | In Home Supportive Care | 36 42nd Ave, San Mateo, CA 94403-5109 | 2019-10-21 |
| 1437496692 | Home Instead Senior Care | In Home Supportive Care | 2207 S El Camino Real, San Mateo, CA 94403-1808 | 2013-01-08 |
| 1265778583 | Angela J Encarnacion | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2012-12-13 |
| 1386997070 | Evergreen Bay Family Care, Inc. | In Home Supportive Care | 1900 S Norfolk St Ste 350, San Mateo, CA 94403-1171 | 2012-10-18 |
| 1053682740 | Magis Care LLC | In Home Supportive Care | 1670 S Amphlett Blvd Ste 225, San Mateo, CA 94402-2511 | 2012-01-26 |
| 1457634065 | Gosula Homecare, Inc. | In Home Supportive Care | 1670 S Amphlett Blvd Ste 214, San Mateo, CA 94402-2511 | 2011-09-21 |
| 1235544552 | Managed Care Inc. | In Home Supportive Care | 2207 S El Camino Real, San Mateo, CA 94403-1808 | 2014-06-25 |
| 1699103960 | Addus Healthcare, Inc. | In Home Supportive Care | 1730 S Amphlett Blvd, #144, San Mateo, CA 94402-2707 | 2013-10-24 |
| 1891035408 | We Assist LLC | In Home Supportive Care | 1730 S Amphlett Blvd, Suite 111, San Mateo, CA 94402-2707 | 2013-02-19 |
| 1851639934 | Jsw Home Health Care Associates, Inc | In Home Supportive Care | 177 Bovet Rd, Suite 600, San Mateo, CA 94402-3116 | 2013-01-23 |
| Find all providers in SAN MATEO | ||||
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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.