IN HOME HEALTH LLC NPI 1093769341

NPI Information

NPI: 1093769341
Provider Name: IN HOME HEALTH LLC

Doing Business As: PROMEDICA HOSPICE (SANTA CLARA)

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
2005 DE LA CRUZ BLVD STE 271
SANTA CLARA, CA
ZIP 95050
Phone: (408) 450-7850
Get Directions

IN HOME HEALTH LLC is a hospice care community based in Santa Clara, CA. IN HOME HEALTH LLC NPI is 1093769341. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Hospice (santa Clara).

The provider's business location address is:

2005 DE LA CRUZ BLVD STE 271
SANTA CLARA, CA
ZIP 95050-031
Phone: (408) 450-7850
Fax: (408) 986-8282

The provider's authorized official is Martin D Allen .
The authorized official title is Director and has the following contact phone number (419) 252-5734.

The CLIA number assigned to this NPI record is 05D0711296 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		070000419	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HPC-01690F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »