Lodi Memorial Hospital Association Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

100000269 Issued in CA

Legal business name

LODI MEMORIAL HOSPITAL ASSOCIATION INC

Doing business as

Lodi Memorial Hospital Home Health Agency

Practice address

800 S Lower Sacramento Rd
Lodi, CA 95242-3635

Phone

(209) 334-3411

Fax

(209) 339-7659

NPI assigned

May 31, 2006

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LODI MEMORIAL HOSPITAL ASSOCIATION INCAs reported in NPPES

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

Authorized official

Name

Mr. Joseph P Harrington

Title

Chief Executive Officer

Phone

(209) 334-3411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lodi Memorial Hospital Home Health Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Lodi Memorial Hosptial Pharmacy West

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Western Health Resources

  dba Adventist Health Home Care Services

  • Home Health Agency
  • Lodi, CA
  • NPI 1770042103

  Sold to, 2019-03-24

  CMS change of ownership

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1043257041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3004",
            "address_2": "975 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411908",
            "telephone_number": "209-334-3411",
            "fax_number": "209-339-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S LOWER SACRAMENTO RD",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423635",
            "telephone_number": "209-334-3411",
            "fax_number": "209-339-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI MEMORIAL HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LODI MEMORIAL HOSPITAL ASSOCIATION INC",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-334-3411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "100000269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70079F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodi Memorial Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lodi Drug Company, Inc
• Lodi Health
• Lodi Kids Dentist a Professional Dental Corporation (Lodi Kids Dentist A Professional Dental Corporation DBA Lodi Kidz Dentist)
• Lodi Lifestyle Medicine & Surgery, Professional Corporation
• Lodi Memorial Hospital Association Inc (Lodi Health Pharmacy West)
• Lodi Memorial Hospital Association Inc (Lodi Memorial Urgent Care Clinic)
• Lodi Memorial Hospital Association Inc (Lodi Memorial Hospital-Transitional Care Unit)
• Lodi Memorial Hospital Association Inc (Lodi Memorial Primary Care Clinic)
• Lodi Memorial Hospital Association Inc (Lodi Memorial Hospital)
• Lodi Memorial Hospital Association Inc (Lodi Memorial Pediatric Clinic)

• Home Health Agency in Lodi, CA
• Providers in Lodi, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.