GAVANA CORPORATION (NPI# 1619574225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619574225 |
| Entity Type | Organization |
| Organization Name | GAVANA CORPORATION |
| Practice Address |
5842 Lonetree Blvd Rocklin CA 95765-3785 |
| Mailing Address |
4065 Southampton St Roseville CA 95747-4241 |
| Practice Telephone | 9163024243 |
| Practice Fax Number | 9163024730 |
| Mailing Telephone | 2098174739 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MISS LACKHENA MURALLON (DIRECTOR) |
| Authorized Official Telephone | 9163024243 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 253Z00000X | 05 |
| Other Name | Type Code |
|---|---|
| Right at Home | Doing Business As Name - Organization |
| Street Address |
5842 LONETREE BLVD |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| 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 |
|---|---|---|---|---|
| 1023619434 | Prestige Home Care Angels Inc | In Home Supportive Care | 4531 Bedilion St, Los Angeles, CA 90032-2001 | 2020-11-03 |
| 1316547458 | Seniors Who Help Seniors Inc. | In Home Supportive Care | 577 E Elder St Ste U, Fallbrook, CA 92028-3079 | 2020-10-28 |
| 1386244465 | Silver Screen Senior Care LLC | In Home Supportive Care | 1333 S Beverly Glen Blvd Apt 906, Los Angeles, CA 90024-5277 | 2020-10-28 |
| 1861091373 | C'e Bella Home Care LLC | In Home Supportive Care | 82784 Longfellow Ct, Indio, CA 92201-9326 | 2020-10-26 |
| 1932708591 | At Home Care Companion Services Inc | In Home Supportive Care | 2814 Buttercup Ct, Antioch, CA 94531-6306 | 2020-10-23 |
| 1437758000 | My Little Helpers LLC | In Home Supportive Care | 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 | 2020-10-23 |
| 1144829912 | A Shade of Love LLC | In Home Supportive Care | 9462 Oak St Apt 8, Bellflower, CA 90706-5264 | 2020-10-22 |
| 1073112744 | Carefree Home Care | In Home Supportive Care | 850 E Chapman Ave Ste A, Orange, CA 92866-1649 | 2020-10-22 |
| 1790383172 | Beverley's Home Healthcare LLC | In Home Supportive Care | 2450 E Del Mar Blvd Unit 17, Pasadena, CA 91107-4809 | 2020-10-16 |
| 1467050955 | Health Redesigned | In Home Supportive Care | 12139 Mount Vernon Ave Ste 203, Grand Terrace, CA 92313-5547 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GAVANA CORPORATION.
| 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.