ADVANCED HOME HEALTH NORTHBAY INC (NPI# 1457720617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457720617 |
| Entity Type | Organization |
| Organization Name | ADVANCED HOME HEALTH NORTHBAY INC |
| Practice Address |
2161 Ygnacio Valley Rd Ste 210 Walnut Creek CA 94598-3351 |
| Mailing Address |
4354 Auburn Blvd Ste 300 Sacramento CA 95841-4107 |
| Practice Telephone | 7076432100 |
| Practice Fax Number | 7076434028 |
| Mailing Telephone | 7076432100 |
| Mailing Fax Number | 7076434028 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | DEBRA L RYAN (SECRETARY) |
| Authorized Official Telephone | 9166785802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 550001265 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME HEALTH | 550001265 | 01 |
| Street Address |
2161 YGNACIO VALLEY RD STE 210 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1477038982 | Athome Healthcare Team - East Bay, LLC | Home Health | 1875 Olympic Blvd Ste 201, Walnut Creek, CA 94596-5026 | 2018-10-01 |
| 1538659768 | Bridge Home Health East Bay LLC | Home Health | 3021 Citrus Cir Ste 270, Walnut Creek, CA 94598-2675 | 2018-05-14 |
| 1992133391 | Pinnacle Home Health Agency LLC | Home Health | 1375 Locust St, Suite M200, Walnut Creek, CA 94596-4591 | 2013-10-22 |
| 1467726109 | Macrophil, Inc. | Home Health | 2424 Casa Way, Walnut Creek, CA 94597-3104 | 2012-02-27 |
| 1467778100 | Comfort Assisting, Inc. | Home Health | 112 La Casa Via Ste 160, Walnut Creek, CA 94598-3094 | 2010-04-19 |
| 1619148285 | Immaculate Health Care | Home Health | 2855 Mitchell Dr, Ste 104, Walnut Creek, CA 94598-1600 | 2008-03-21 |
| 1366620510 | Interim Assisted Care of The East Bay | Home Health | 1717 N California Blvd Ste 3a, Walnut Creek, CA 94596-4132 | 2008-02-08 |
| 1881959906 | Bonacci House, Inc | Home Health | 2910 Camino Diablo, Suite 140, Walnut Creek, CA 94597-3997 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548225 | Natalie Deanne Moreno | Home Health | 42 W Campbell Ave Ste 101, Campbell, CA 95008-1042 | 2020-11-06 |
| 1174124994 | Soul Care Home Health | Home Health | 21243 Ventura Blvd Ste 235, Woodland Hills, CA 91364-2113 | 2020-11-06 |
| 1942801840 | Integrated Home Health Care Inc | Home Health | 6354 Van Nuys Blvd Ste 101, Van Nuys, CA 91401-2601 | 2020-11-06 |
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.