HEALTH CARE FOR THE HOMELESS (NPI# 1932252053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932252053 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE FOR THE HOMELESS |
| Practice Address |
1900 Fruitvale Ave Oakland CA 94601-2464 |
| Mailing Address |
1166 Brooktrail Dr Pittsburg CA 94565-7627 |
| Practice Telephone | 5105321930 |
| Mailing Telephone | 9255629335 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. OTERIA RANDALL KOAYEN (CLINICIAN) |
| Authorized Official Telephone | 5105321930 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | 439624 | CA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427461003 | Health Care for The Homeless | Clinic/Center | 421 Fallsway, Baltimore, MD 21202-4800 | 2014-06-11 |
| 1932342821 | Health Care for The Homeless | Community/Behavioral Health | 111 Park Ave, Baltimore, MD 21201-3402 | 2009-04-08 |
| 1114163946 | Health Care for The Homeless | Health Maintenance Organization | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2008-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTH CARE FOR THE HOMELESS | 220 S 12th Ave, Phoenix, AZ 85007-3101 |
| Street Address |
1900 FRUITVALE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902084924 | Yevgenia Blam | Nurse Practitioner | 1900 Fruitvale Ave, Oakland, CA 94601-2464 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874696 | Max Maydanik | Chore Provider | 212 Red Oak Dr E Apt H, Sunnyvale, CA 94086-6609 | 2020-09-05 |
| 1497367924 | Changing Lives In The Central Valley LLC | Chore Provider | 478 E Yosemite Ave Ste C, Merced, CA 95340-8467 | 2020-08-17 |
| 1710504196 | International Elder Care Solutions, Inc. | Chore Provider | 950 County Square Dr Ste 204, Ventura, CA 93003-5481 | 2020-07-01 |
| 1831718105 | Meline Garibyan | Chore Provider | 936 W Avenue J4 Ste 203a, Lancaster, CA 93534-4246 | 2020-04-15 |
| 1568000339 | Wenda Renee Wilson Doby | Chore Provider | 1903 Glow Pointe, San Jacinto, CA 92582 | 2019-12-12 |
| 1376104984 | Temre Jane Ball | Chore Provider | 1235 E 15th St, Long Beach, CA 90813-2201 | 2019-06-25 |
| 1609435791 | Eileen Roberts | Chore Provider | C/o Eileen Roberts, 5200 Clark Ave Unit 846, Lakewood, CA 90714 | 2019-06-12 |
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1952885899 | Kathleen M Bankerd | Chore Provider | 2192 S Coast Hwy, Oceanside, CA 92054-6536 | 2018-09-17 |
| 1013409739 | Eddie M Turner | Chore Provider | 1424 4th St Ste 405, Santa Monica, CA 90401-3446 | 2018-05-30 |
| 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.