Organization Active NPI

Adult Healthcare Advocacy Service

Doing business as North Bay Ambulance

  • Case Management Agency
  • Rohnert Park, CA
National Provider Identifier
1083033369
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADULT HEALTHCARE ADVOCACY SERVICE
Doing business as
North Bay Ambulance
Practice address
170 Professional Center Dr
Suite a
Rohnert Park, CA 94928-2144
Phone
(707) 595-5258
Fax
(707) 595-5276
NPI assigned
Apr 15, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Eric Constantine
Title
Ceo
Phone
(707) 595-5258

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Home Health Agency 251E00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

170 Professional Center Dr
Suite a
Rohnert Park, CA 94928-2144

Mailing address

170 Professional Center Dr
Suite a
Rohnert Park, CA 94928-2144
Phone (707) 595-5258

Other names 1

  • North Bay Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

170 Professional Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 595-5258

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1083033369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PROFESSIONAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282144",
            "telephone_number": "707-595-5258",
            "fax_number": "707-595-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PROFESSIONAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282144",
            "telephone_number": "707-595-5258",
            "fax_number": "707-595-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT HEALTHCARE ADVOCACY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-595-5258"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.