MAXNURSING HOME HEALTH (NPI# 1578943387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578943387 |
| Entity Type | Organization |
| Organization Name | MAXNURSING HOME HEALTH |
| Practice Address |
1435 Telegraph Ave Stockton CA 95204-1727 |
| Practice Telephone | 2094513616 |
| Mailing Telephone | 2094513616 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | MARY JO GRAY (OWNER) |
| Authorized Official Telephone | 2094513616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CA | Agencies |
| Street Address |
1435 TELEGRAPH AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1770180630 | Wisdom 7, LLC | Home Health | 87 W March Ln Ste 1, Stockton, CA 95207-5731 | 2020-10-05 |
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1497302756 | Travel Group Caregivers LLC | Home Health | 5637 N Pershing Ave Ste C11e, Stockton, CA 95207-4944 | 2019-08-21 |
| 1750850210 | Clear Choice Home Health Care, Inc. | Home Health | 4550 N Pershing Ave Ste H, Stockton, CA 95207-6737 | 2018-11-14 |
| 1679003131 | Patient Care First | Home Health | 829 Rosemarie Ln Ste H, Stockton, CA 95207-6221 | 2017-06-18 |
| 1720539695 | Home Health of California LLC | Home Health | 11 S San Joaquin St, Ste 506, Stockton, CA 95202-3202 | 2016-10-17 |
| 1578911459 | Home Health of California Inc | Home Health | 1145 N California St Ste 205, Stockton, CA 95202 | 2016-06-01 |
| 1780077867 | Kanathan LLC | Home Health | 4450 Saint Andrews Dr, Stockton, CA 95219-1887 | 2015-03-12 |
| 1588979264 | Amedisys California LLC | Home Health | 10100 Trinity Pkwy, Suite 410, Stockton, CA 95219-7238 | 2010-08-18 |
| 1003136920 | California Family Home Health Care, LLC | Home Health | 1211 N Hunter St, Stockton, CA 95202-1409 | 2010-06-02 |
| Find all providers in STOCKTON | ||||
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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.