Active NPI
In Home Health, LLC
- Community Based Hospice Care Agency
- San Rafael, CA
National Provider Identifier
1114289378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- IN HOME HEALTH, LLC
- Practice address
- 1050 Northgate Dr
Suite 400
San Rafael, CA 94903-2526 - Phone
- (415) 472-2637
- Fax
- (415) 479-8609
- NPI assigned
- Jun 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry A Lazarus
- Title
- Vice President
- Phone
- (419) 252-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1050 Northgate Dr
Suite 400
San Rafael, CA 94903-2526
Mailing address
PO Box 10086
Toledo, OH 43699-0086
Phone (419) 252-5500
Other names 1
- ProMedica Hospice (San Rafael)
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1050 Northgate Dr
Ste 400
San Rafael, CA 94903
Phone (415) 472-2637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642896000000",
"number": "1114289378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10086",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436990086",
"telephone_number": "419-252-5500",
"fax_number": "877-385-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NORTHGATE DR",
"address_2": "SUITE 400",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949032526",
"telephone_number": "415-472-2637",
"fax_number": "415-479-8609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-13",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A",
"authorized_official_last_name": "LAZARUS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "419-252-5500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (San Rafael)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.