NPIMap

Organization Active NPI

Sutter Visiting Nurse Association and Hospice

Doing business as Sutter Care at Home

  • Home Health Agency
  • Santa Cruz, CA
National Provider Identifier
1063658987
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Doing business as
Sutter Care at Home
Practice address
2880 Soquel Ave
Ste 10
Santa Cruz, CA 95062-1423
Phone
(831) 477-2600
NPI assigned
Dec 23, 2008
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SUTTER VISITING NURSE ASSOCIATION AND HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mark K McPherson
Title
President (Ceo)
Phone
(707) 864-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2880 Soquel Ave
Ste 10
Santa Cruz, CA 95062-1423

Mailing address

5099 Commercial Cir Ste 208
Concord, CA 94520-1374
Phone (855) 771-0328

Other identifiers 2

IdentifierTypeStateIssuer
ZZR07007FMedicaidCA
ZZR07007GMedicaidCA

Other names 1

  • Sutter Care at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000556 CA Part A Provider - Home Health Agency 1052228673 Practice locations: Santa Cruz, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063658987. Details of each certification follow.

Home health agency certification: CCN 057007

Legal name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Doing business as
SUTTER CARE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jul 30, 2021
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
May 13, 1908 in CA
Enrollment address
2880 Soquel Ave
Ste 10
Santa Cruz, CA 95062-1423

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sutter Care at HomeCCN 057007 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
V N a and Hospice of39 organizations share this tax ID, including this one
Part of
V N a and Hospice of

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Keith R Lagnese Individual Contracted Managing EmployeeChief Medical Officer Aug 28, 2023
Operational/Managerial ControlChief Medical Officer Aug 28, 2023
Edward S Kersh Individual Contracted Managing EmployeeMD; Sep 4, 2018
Operational/Managerial ControlMedical Director for Home Health Sep 4, 2018
David J Seidenwurm Individual Corporate Director Jan 1, 2019
Carolyn a Goodall Individual W-2 Managing EmployeeExecutive Director Jan 19, 2015
Operational/Managerial ControlExecutive Director Jan 19, 2015
Mark K McPherson Individual Contracted Managing EmployeePresident (Ceo) Aug 14, 2023
Corporate OfficerPresident (Ceo) Aug 14, 2023
Corporate DirectorPresident (Ceo) Aug 14, 2023
Operational/Managerial ControlPresident (Ceo) Aug 14, 2023
Apolinar Lobato Individual W-2 Managing EmployeeAlt Administrator/Clinical Manager Mar 26, 2024
Operational/Managerial ControlAlt Administrator/Clinical Manager Mar 26, 2024
Lisa M Munn Individual W-2 Managing EmployeeHome Health Regional Director of Op Oct 16, 2022
Operational/Managerial ControlHome Health Regional Director of Op Oct 16, 2022
George T Block Individual Corporate Director Jul 16, 2018
Margaret a Taylor Individual Corporate Director Sep 22, 2014
Ursula Nicole Boynton Individual Corporate Director Jan 1, 2022
Alden J McDonald Individual Corporate Officer Jan 1, 2023
Corporate Director Jul 1, 2017
Manuel J Jimenez Individual Corporate Director Jan 1, 2020
Douglas G Wagemann Individual Corporate Director Jan 1, 2023
Anna J Kiger Individual Corporate Officer Oct 1, 2021
Corporate Director Oct 1, 2021
Albert S Chan Individual Corporate Director Jan 1, 2020
Jeffrey T Strawn Individual Corporate Officer Jan 1, 2018
Corporate Director Jan 1, 2016
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 2, 2000 100%
Margaret O Lopez Individual W-2 Managing EmployeeAd; Dec 20, 2015
Operational/Managerial ControlHome Health Administrator Dec 20, 2015
Patrick a Brown Individual Contracted Managing EmployeeCfo Apr 1, 2024
Corporate OfficerCfo Apr 1, 2024
Operational/Managerial ControlCfo Apr 1, 2024
Megan L Merz Individual Corporate Officer Jul 13, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Affiliated clinicians 116

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1063658987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 COMMERCIAL CIR STE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201374",
            "telephone_number": "855-771-0328",
            "fax_number": "707-863-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SOQUEL AVE",
            "address_2": "STE 10",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621423",
            "telephone_number": "831-477-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "enumeration_date": "2008-12-23",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT (CEO)",
        "authorized_official_telephone_number": "707-864-4660"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR07007F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR07007G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Care at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.