Organization Active NPI

St. Patrick Home Health Providers, Inc.

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1093089369
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST. PATRICK HOME HEALTH PROVIDERS, INC.
Practice address
25 N 14TH St Ste 660
San Jose, CA 95112-6214
Phone
(408) 389-3500
Fax
(866) 282-2057
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Ms. Geraldine Pastores, RN
Title
President/Ceo
Phone
(408) 389-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25 N 14TH St Ste 660
San Jose, CA 95112-6214

Mailing address

25 N 14TH St Ste 660
San Jose, CA 95112-6214
Phone (408) 389-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000184 CA Part A Provider - Home Health Agency 4789845959 Practice locations: San Jose, CA

Home health agency certification: CCN 059475

Legal name
ST. PATRICK HOME HEALTH PROVIDERS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 27, 2013
Last certification
Mar 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 28, 2012 in CA
Enrollment address
25 N 14TH St
Ste 660
San Jose, CA 95112-6214

Care Compare: Home health agency

Medicare Care Compare
Listed as
St. Patrick Home Health Providers, IncCCN 059475
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 27, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2042076St. Patrick Home Health Providers, Inc25 N 14TH St Ste 660, San Jose, CA 95112Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Locations

25 N 14th St
Ste 440
San Jose, CA 95112
Phone (408) 398-6931

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Clara May Marinas Individual 5% Or Greater Direct Ownership Interest Mar 7, 2012 20%
Corporate OfficerSecretary Mar 7, 2012
W-2 Managing Employee Mar 7, 2012
Geraldine Pastores Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Mar 7, 2012 80%
Corporate OfficerPresident/Ceo Mar 7, 2012 80%
Corporate DirectorPresident/Ceo Mar 7, 2012 80%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1093089369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 660",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126214",
            "telephone_number": "408-389-3500",
            "fax_number": "866-282-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 660",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126214",
            "telephone_number": "408-389-3500",
            "fax_number": "866-282-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PATRICK HOME HEALTH PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "PASTORES",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-389-3500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.