NPIMap

Organization Active NPI

Sutter Visiting Nurse Association and Hospice

Doing business as Sutter Care at Home

  • Community Based Hospice Care Agency
  • Alameda, CA
National Provider Identifier
1124053558
Registry record updated May 29, 2024
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
1025 Atlantic Ave Ste 100a
Alameda, CA 94501-1189
Phone
(510) 263-0900
Fax
(510) 263-0909
NPI assigned
Jul 12, 2006
Last updated
May 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

1025 Atlantic Ave Ste 100a
Alameda, CA 94501-1189

Mailing address

5099 Commercial Cir
Ste 208
Concord, CA 94520-1291
Phone (855) 771-0328

Other practice location 1

5099 Commercial Cir Ste 210
Concord, CA 94520-1291
Phone (925) 363-4120

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
O20070620000663 CA Part A Provider - Hospice 1052228673 1 other NPI on this enrollment
Practice locations: Concord, CA; Alameda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124053558. Details of each certification follow.

Hospice certification: CCN 051555

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 1, 1989
Last certification
Oct 22, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
May 13, 1908 in CA
Enrollment address
1025 Atlantic Ave
Ste 100a
Alameda, CA 94501-1189

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Sutter Care at HomeCCN 051555 · All quality measures
Ownership
For-Profit
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
V N a and Hospice of39 organizations share this tax ID, including this one

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 100A
Alameda, CA 94501
Phone (510) 263-0900

1025 Atlantic Ave
Ste 101
Alameda, CA 94501
Phone (510) 328-7178

5099 Commercial Cir
Ste 210
Concord, CA 94520
Phone (925) 363-4120

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
Keith R Lagnese Individual Contracted Managing EmployeeChief Medical Officer Aug 28, 2023
Operational/Managerial ControlChief Medical Officer Aug 28, 2023
Jerold W Louderback Individual W-2 Managing EmployeeAd; Jun 5, 2023
Operational/Managerial ControlHospice Administrator Jun 5, 2023
Paresh Matmari Individual Contracted Managing EmployeeMD; Dec 7, 2020
Operational/Managerial ControlHospice Physician/Medical Director Dec 7, 2020
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
Grace Spencer Individual W-2 Managing EmployeeAd; Nov 1, 2021
Operational/Managerial ControlHospice Administrator Nov 1, 2021
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
Cameron P Pirouz Individual W-2 Managing EmployeeHospice Regional Director of Apr 4, 2022
Operational/Managerial ControlHospice Regional Director of Operat Apr 4, 2022
Manuel J Jimenez Individual Corporate Director Jan 1, 2020
Douglas G Wagemann Individual Corporate Director Jan 1, 2023
Maripaz I Nazareno Individual W-2 Managing EmployeeAlternate Administrator/DPCS Jun 1, 2022
Operational/Managerial ControlAlternate Administrator/DPCS Jun 1, 2022
Anna J Kiger Individual Corporate Officer Oct 1, 2021
Corporate Director Oct 1, 2021
Albert S Chan Individual Corporate Director Jan 1, 2020
Jeffrey T Strawn Individual Corporate Officer Jan 1, 2018
Corporate Director Jan 1, 2016
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
Megan L Merz Individual Corporate Officer Jul 13, 2023

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 11

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1124053558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 COMMERCIAL CIR",
            "address_2": "STE 208",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201291",
            "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": "1025 ATLANTIC AVE STE 100A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011189",
            "telephone_number": "510-263-0900",
            "fax_number": "510-263-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5099 Commercial Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945201291",
            "country_code": "US",
            "telephone_number": "925-363-4120",
            "fax_number": "925-676-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT (CEO)",
        "authorized_official_telephone_number": "707-864-4660"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.