Eskaton

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ESKATON

Practice address

1640 Eskaton Loop
Roseville, CA 95747-5185

Phone

(916) 459-3220

Fax

(916) 331-2986

NPI assigned

May 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Robert Bollum

Title

Executive Director

Phone

(916) 459-3220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Live Well at Home by Eskaton Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1023673258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 ESKATON LOOP",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475185",
            "telephone_number": "916-459-3220",
            "fax_number": "916-331-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 ESKATON LOOP",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475185",
            "telephone_number": "916-459-3220",
            "fax_number": "916-331-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESKATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "BOLLUM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-459-3220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSB",
            "identifier": "314700008",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well at Home by Eskaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Escudero
• Jennifer Eshaghian
• Mina Eskandar, PHARMD
• Leyla Eskandari
• Catherine A Eskander, M.D.
• Melissa Espejo
• Augustine Fernandez Espinoza, MD
• Magaly Espitia Chavez
• Edward A Estante, BSN RN VABC CRNI
• Melissa Itzel Estrada

• Home Health Aide in Roseville, CA
• Providers in Roseville, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.