Organization Active NPI

Western Health Resources

Doing business as Adventist Health Home Care Services

  • Home Health Agency
  • Lower Lake, CA
National Provider Identifier
1063762896
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010000139 Issued in CA
Legal business name
WESTERN HEALTH RESOURCES
Doing business as
Adventist Health Home Care Services
Practice address
9245 Hwy 53
Lower Lake, CA 95457
Phone
(707) 994-0737
NPI assigned
Sep 19, 2012
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Steve Bell
Title
Director, Finance
Phone
(916) 390-3109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010000139 CA Primary

Addresses

Primary practice location

9245 Hwy 53
Lower Lake, CA 95457

Mailing address

PO Box 619120
Roseville, CA 95661-9120
Phone (916) 406-1430

Other names 1

  • ADVENTIST HEALTH HOME CARE SERVICES Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000011 CA Part A Provider - Home Health Agency 3577661990 Practice locations: Lower Lake, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063762896. Details of each certification follow.

Home health agency certification: CCN 057710

Legal name
WESTERN HEALTH RESOURCES
Doing business as
ADVENTIST HEALTH HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 20, 1985
Last certification
Mar 14, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 6, 1983 in CA
Enrollment address
9245 Hwy 53
Lower Lake, CA 95457

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adventist Health Home Care ServicesCCN 057710 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Sep 20, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Western Health Private Homecare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Brett Spenst Individual Corporate OfficerCfo Mar 3, 2022
Corporate DirectorCfo Mar 3, 2022
Kerry L Heinrich Individual OtherChain Home Office Administrator Jan 1, 2022
Meredith S Jobe Individual Corporate Officer Jan 13, 2012
Corporate Director May 31, 2016
Eric a Stevens Individual Corporate Officer Mar 3, 2022
Corporate Director Mar 3, 2022
Jodi J Hansen Individual W-2 Managing EmployeeAdmin Designee & Rehab Supervisor Apr 29, 2022
Operational/Managerial ControlAdmin Designee & Rehab Supervisor Apr 29, 2022
Jacalyn Liebowitz Individual Corporate Officer Sep 22, 2020
Corporate Director Sep 22, 2020
Jeffrey R Mock Individual Contracted Managing EmployeeFinance Operations Executive Jan 6, 2020
Corporate DirectorFinance Operations Executive Jan 6, 2020
Operational/Managerial ControlAdmin Dir Post Acute Care SVCS/Fin Jan 6, 2020
John R Dingilian Individual Corporate Director Apr 27, 2021
Melissa K Ward Individual Contracted Managing EmployeePresident Jul 12, 2020
Corporate OfficerPresident Jul 17, 2020
Corporate DirectorPresident Jul 17, 2020
Operational/Managerial ControlPresident Jul 12, 2020
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit Operational/Managerial Control May 6, 1983 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventist Health Home Care ServicesYuba City, CA, CCN 057448 Home health agency 5% Or Greater Security Interest (100%) Nov 13, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 105

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

View all 105

Practitioners & affiliated clinicians

Affiliated clinicians 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1063762896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619120",
            "telephone_number": "916-406-1430",
            "fax_number": "916-406-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 HWY 53",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "95457",
            "telephone_number": "707-994-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "916-390-3109"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "010000139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9245 Hwy 53",
            "city": "Lower Lake",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTIST HEALTH HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTIST HEALTH HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lower Lake, CA

Sources for this page

Verify at the official NPI Registry.