NPIMap

Organization Active NPI

Sutter Visiting Nurse Association and Hospice

Doing business as Sutter Care at Home

  • Home Health Agency
  • Concord, CA
National Provider Identifier
1083643944
Registry record updated Feb 8, 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
5099 Commercial Cir
Ste 205
Concord, CA 94520-1292
Phone
(925) 677-4240
Fax
(877) 732-0310
NPI assigned
Jul 2, 2006
Last updated
Feb 8, 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 Feb 8, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5099 Commercial Cir
Ste 205
Concord, CA 94520-1292

Mailing address

4830 Business Center Dr
Ste 140
Fairfield, CA 94534-1797
Phone (855) 771-0328

Other practice location 1

1025 Atlantic Ave Ste 100B
Alameda, CA 94501-1189
Phone (510) 618-5200

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
O20070620000660 CA Part A Provider - Home Health Agency 1052228673 Practice locations: Alameda, CA; Concord, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083643944. Details of each certification follow.

Home health agency certification: CCN 057004

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
Feb 8, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 13, 1908 in CA
Enrollment address
5099 Commercial Cir
Ste 205
Concord, CA 94520-1292

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sutter Care at HomeCCN 057004 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
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

Locations

1025 Atlantic Ave
Ste 100B
Alameda, CA 94501
Phone (510) 618-5200

5099 Commercial Cir
Ste 205
Concord, CA 94520
Phone (925) 677-4240

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Patricia K Wrenn Individual W-2 Managing EmployeeAlt Administrator/Clinical Manager Jul 29, 2019
Operational/Managerial ControlAlt Administrator/Clinical Manager Jul 29, 2019
Edward S Kersh Individual Contracted Managing EmployeeMedical Director for Home Health Sep 4, 2018
Operational/Managerial ControlMedical Director for Home Health Sep 4, 2018
David H Adams Individual Corporate Officer Aug 1, 2022
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
Kelly M Sandoval Individual W-2 Managing EmployeeHome Health Regional Director of Op Oct 16, 2022
Operational/Managerial ControlHome Health Regional Director of Op Oct 16, 2022
Theresa M Frei Individual Contracted Managing EmployeeInterim Ceo Feb 21, 2023
Corporate OfficerInterim Ceo Feb 21, 2023
Corporate DirectorInterim Ceo Feb 21, 2023
Operational/Managerial ControlInterim Ceo Feb 21, 2023
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
Romelia Garcia Individual Contracted Managing EmployeeChief Administrative Officer Mar 29, 2021
Operational/Managerial ControlChief Administrative Officer Aug 24, 2020
Manuel J Jimenez Individual Corporate Director Jan 1, 2020
Sheila L Taylor Individual W-2 Managing EmployeeInterim Home Health Administrator Feb 19, 2023
Operational/Managerial ControlInterim Home Health Administrator Feb 19, 2023
Douglas G Wagemann Individual Corporate Director Jan 1, 2023
Anna J Kiger Individual Corporate Officer Oct 1, 2021
Corporate Director Oct 1, 2021
Mubeen Ayub Individual W-2 Managing EmployeeHome Health Administrator Apr 5, 2021
Operational/Managerial ControlHome Health Administrator Apr 5, 2021
Albert S Chan Individual Corporate Director Jan 1, 2020
Jeffrey T Strawn Individual Corporate Officer Jan 1, 2018
Corporate Director Jan 1, 2016
Mark W.H. Wheeler Individual Contracted Managing EmployeeCfo Apr 8, 2019
Corporate OfficerCfo Sep 23, 2019
Operational/Managerial ControlCfo Apr 8, 2019
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Oct 2, 2000 100%
Patrick a Brown Individual Contracted Managing EmployeeCfo Apr 1, 2024
Corporate OfficerCfo Apr 1, 2024
Operational/Managerial ControlCfo Apr 1, 2024
Aaron Ortiz Individual Corporate Director Jul 1, 2017

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 223

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

View all 223

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1083643944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 BUSINESS CENTER DR",
            "address_2": "STE 140",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341797",
            "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": "5099 COMMERCIAL CIR",
            "address_2": "STE 205",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201292",
            "telephone_number": "925-677-4240",
            "fax_number": "877-732-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Atlantic Ave Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011189",
            "country_code": "US",
            "telephone_number": "510-618-5200",
            "fax_number": "510-347-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2006-07-02",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-864-4660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Concord, CA

Sources for this page

Verify at the official NPI Registry.