NPIMap

Organization Active NPI

Sutter Visiting Nurse Association and Hospice

Doing business as Sutter Care at Home

  • Community Based Hospice Care Agency
  • Santa Rosa, CA
National Provider Identifier
1104850015
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Doing business as
Sutter Care at Home
Practice address
110 Stony Point Rd
Ste 200C
Santa Rosa, CA 95401-4118
Phone
(707) 535-5700
Fax
(707) 542-6731
NPI assigned
Jul 10, 2006
Last updated
Aug 11, 2025By 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 Aug 11, 2025

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
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

110 Stony Point Rd
Ste 200C
Santa Rosa, CA 95401-4118

Mailing address

5099 Commercial Cir Ste 208
Concord, CA 94520-1374
Phone (707) 864-4840

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
O20050322001172 CA Part A Provider - Hospice 1052228673 Practice locations: Santa Rosa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104850015. Details of each certification follow.

Hospice certification: CCN 051761

Legal name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Doing business as
SUTTER CARE AT HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 20, 2003
Last certification
Feb 1, 2019
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
May 13, 1908 in CA
Enrollment address
110 Stony Point Rd
Ste 200C
Santa Rosa, CA 95401-4118

Care Compare: Hospice

Medicare Care Compare
Listed as
Sutter Care at HomeCCN 051761 · All quality measures
Ownership
Other
Certified
Jun 20, 2003
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pharmaceutical Infusion39 organizations share this tax ID, including this one
Part of
Pharmaceutical Infusion

Other organizations with this tax ID 38

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

View all 38

Locations

110 Stony Point Rd
Ste 200
Santa Rosa, CA 95401

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
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
Patricia a Jellison-Lavine Individual W-2 Managing EmployeeHospice Administrator Aug 17, 2014
Operational/Managerial ControlHospice Administrator Aug 17, 2014
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 Director Jul 1, 2017
Romelia Garcia Individual Contracted Managing EmployeePresident/Ceo Mar 29, 2021
Corporate OfficerPresident/Ceo Mar 29, 2021
Corporate DirectorPresident/Ceo Mar 29, 2021
Operational/Managerial ControlPresident/Ceo May 1, 2017
Carrie Z Blair Individual W-2 Managing EmployeeAlternate Administrator/DPCS Nov 1, 2020
Operational/Managerial ControlAlternate Administrator/DPCS Nov 1, 2020
Manuel J Jimenez Individual Corporate Director Jan 1, 2020
Basil C Hamblin Individual Contracted Managing EmployeeHospice Physician Apr 23, 2018
Operational/Managerial ControlHospice Physician Apr 23, 2018
Anna J Kiger Individual Corporate Director Oct 1, 2021
Michael D Blanchard Individual Contracted Managing EmployeeSenior Hospice Physician Jul 16, 2018
Operational/Managerial ControlSenior Hospice Physician Jul 16, 2018
Albert S Chan Individual Corporate Director Jan 1, 2020
Teresa a Simpson Individual W-2 Managing EmployeeDirector Operations, Hospice Aug 24, 2020
Operational/Managerial ControlDirector Operations, Hospice Aug 24, 2020
Jeffrey T Strawn Individual 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 6

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 12

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1104850015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 COMMERCIAL CIR STE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201374",
            "telephone_number": "707-864-4840",
            "fax_number": "707-863-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STONY POINT RD",
            "address_2": "STE 200C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014118",
            "telephone_number": "707-535-5700",
            "fax_number": "707-542-6731"
        }
    ],
    "practiceLocations": [],
    "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": "2006-07-10",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "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 Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.