KAISER FOUNDATION HOSPITALS NPI 1104996933

NPI Details

KAISER FOUNDATION HOSPITALS is a home health in Santa Rosa, CA. The provider is 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. KAISER FOUNDATION HOSPITALS NPI is 1104996933. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Foundation Hospital Home Health Santa Rosa.

The provider's business location address is:

3550 ROUND BARN BLVD STE 112
SANTA ROSA, CA
ZIP 95403-796
Phone: (707) 566-5488

The provider's authorized official is Judith L Coffey .
The authorized official title is Senior Vice President, Area Manager and has the following contact phone number (797) 571-4222.

The CLIA number assigned to this NPI record is 05D0972728 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 4/22/2021.

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: