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ST. JOSEPH HOME CARE NETWORK NPI 1174065809


NPI Information

NPI: 1174065809
Provider Name: ST. JOSEPH HOME CARE NETWORK

Doing Business As: PROVIDENCE HOSPICE SONOMA COUNTY

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
416 PAYRAN ST
PETALUMA, CA
ZIP 94952
Phone: (707) 778-6242
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ST. JOSEPH HOME CARE NETWORK is a hospice care community based in Petaluma, CA. ST. JOSEPH HOME CARE NETWORK NPI is 1174065809. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Hospice Sonoma County.

The provider's business location address is:

416 PAYRAN ST
PETALUMA, CA
ZIP 94952-907
Phone: (707) 778-6242
Fax: (707) 778-0144

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 11/11/2016 and was last updated on 2/16/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedCALIFORNIAYes

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: 4/28/2024

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