In Home Health LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

070000419 Issued in CA

Legal business name

IN HOME HEALTH LLC

Practice address

2005 De la Cruz Blvd Ste 271
Santa Clara, CA 95050-3031

Phone

(408) 450-7850

Fax

(408) 986-8282

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• ProMedica Hospice (Burlingame) Doing business as
• ProMedica Hospice (Santa Clara) Doing business as

Member of 1

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

• Manorcare Health Services LLC

  • Skilled Nursing Facility
  • Naples, FL
  • NPI 1366499535

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mireen Quizon Delos Santos, N.P.

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1538404629
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1093769341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: DEAN SHIPMAN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-254-7841",
            "fax_number": "419-252-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 DE LA CRUZ BLVD STE 271",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503031",
            "telephone_number": "408-450-7850",
            "fax_number": "408-986-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Bayshore Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940101616",
            "country_code": "US",
            "telephone_number": "650-653-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "070000419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC-01690F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Burlingame)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Santa Clara)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Santa Clara)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Im, MD
• Judy Im, PHARMD
• Kevin Imai, DC
• Ramon (Ray) None Imai Jr., RRT
• Imola Holdings LLC
• In Home Health, LLC
• In Home Support Network
• Ina K Bendis MD PHD FCCP Inc
• Anna Inger, RADT R1265380917
• Susan Trinosky Ingles, M.A., CCC-SLP

• Community Based Hospice Care Agency in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.