PROHEALTH HOME CARE INC (NPI# 1689943243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689943243 |
| Entity Type | Organization |
| Organization Name | PROHEALTH HOME CARE INC |
| Practice Address |
1990 N California Blvd Suite 755 Walnut Creek CA 94596-3742 |
| Practice Telephone | 8772580336 |
| Practice Fax Number | 4084519217 |
| Mailing Telephone | 8772580336 |
| Mailing Fax Number | 4084519217 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | MR. MOHAMED SHAHRAM MARLEEN (PRESIDENT) |
| Authorized Official Telephone | 4084519055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | CA | Agencies | |
| Y | 251E00000X | Home Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700301124 | Prohealth Home Care Inc | Home Health | 1450 Neotomas Ave Ste 130a, Santa Rosa, CA 95405-7575 | 2017-08-07 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1740403021 | Prohealth Home Care Inc | Home Health | 441 Tomlinson Rd, Unit D-6, Philadelphia, PA 19116-3221 | 2007-04-11 |
| 1497720767 | Prohealth Home Care Inc | Home Health | 2000 Pewaukee Rd C, Waukesha, WI 53188 | 2006-02-21 |
| Street Address |
1990 N CALIFORNIA BLVD SUITE 755 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811966492 | Huu Ngoc Nguyen | Internal Medicine | 1990 N California Blvd, Suite 400 Vep Health Care, Inc, Walnut Creek, CA 94596 | 2006-03-16 |
| 1043607385 | All Better Together, LLC | Behavioral Analyst | 1990 N California Blvd, 8th Floor, Walnut Creek, CA 94596-3742 | 2015-04-24 |
| 1235544271 | Mobile Healthcare Integrations LLC | Emergency Medicine | 1990 N California Blvd, 8th Floor, Walnut Creek, CA 94596-3742 | 2014-06-28 |
| 1427469097 | Zacharia David Greenlee | Physician Assistant | 1990 N California Blvd, Ste 400, Walnut Creek, CA 94596-3742 | 2014-05-16 |
| 1578862157 | Andrew Otto | Emergency Medicine | 1990 N California Blvd, Suite #400, Walnut Creek, CA 94596-3742 | 2011-03-21 |
| 1588960694 | Kennard David Beard | Physician Assistant | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2011-02-07 |
| 1841509171 | Kevin Michael Silas King | Physician Assistant | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2010-10-05 |
| 1821167545 | Patrick Edward Shipsey | Emergency Medicine | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2006-11-07 |
| 1699882589 | Peter Barnett | Emergency Medicine | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2006-08-24 |
| 1598788051 | David Harris Blumin | Emergency Medicine | 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| 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 |
| 1457720617 | Advanced Home Health Northbay Inc | Home Health | 2161 Ygnacio Valley Rd Ste 210, Walnut Creek, CA 94598-3351 | 2015-09-17 |
| 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 | 94596 |
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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.