ST. HELENA HOSPITAL (NPI# 1881684694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881684694 |
| Entity Type | Organization |
| Organization Name | ST. HELENA HOSPITAL |
| Other Organization Name | ST HELENA HOSPITAL HOME CARE SERVICES IN LAKE COUNTY |
| Practice Address |
18th Ave and Highway 53 Clearlake CA 95422-6710 |
| Mailing Address |
Po Box 6710 Clearlake CA 95422-6710 |
| Practice Telephone | 7079940737 |
| Practice Fax Number | 7079940745 |
| Mailing Telephone | 7079946486 |
| Mailing Fax Number | 7079953631 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD MCDONALD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7079636217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA07710F | 05 | |
| CA | BLUE SHIELD | ZZZ08766Z | 01 |
| CA | CHAMPUS | 680395149 95422 0001 | 01 |
| Other Name | Type Code |
|---|---|
| St Helena Hospital Home Care Services in Lake County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757233 | St. Helena Hospital | Psychiatric Hospital | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2015-08-19 |
| 1881685865 | St. Helena Hospital | Skilled Nursing Facility | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2005-10-31 |
| 1699766675 | St. Helena Hospital | Home Health | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2005-10-31 |
| 1851381990 | St. Helena Hospital | Psychiatric Hospital | 525 Oregon St, Vallejo, CA 94590-3201 | 2005-10-27 |
| 1720078082 | St. Helena Hospital | General Acute Care Hospital | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2005-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST HELENA HOSPITAL FOUNDATION | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
| Street Address |
18TH AVE AND HIGHWAY 53 |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104080944 | Adventist Health Redbud Communtiy Hosptial | General Acute Care Hospital | 18th Ave and Highway 53, Clearlake, CA 95422 | 2008-07-10 |
| 1942486642 | Adventist Health Clearlake Hospital, Inc-kelseyville Family Health Cen | Clinic/Center | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2008-01-14 |
| 1124204821 | Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent | Clinic/Center | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2008-01-14 |
| 1841476447 | Adventist Health Clearlake Hospital, Inc-clearlake Family Health Cente | Clinic/Center | 18th Ave and Highway 53, Clearlake, CA 95422-6710 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| 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 |
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| 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 | ||||
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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.