Maa Soulcare Dba Interim Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAA SOULCARE DBA INTERIM HEALTH CARE

Practice address

185 N Redwood Dr Ste 120
San Rafael, CA 94903-1965

Phone

(415) 521-6847

Fax

(415) 849-1237

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Renu Sharma Vats

Title

VP

Phone

(909) 808-3585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Gonzalez

  • Home Health Aide
  • San Rafael, CA
  • NPI 1619433729
  NPD (past)

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1164246393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N REDWOOD DR STE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031965",
            "telephone_number": "415-521-6847",
            "fax_number": "415-849-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N REDWOOD DR STE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031965",
            "telephone_number": "415-521-6847",
            "fax_number": "415-849-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAA SOULCARE DBA INTERIM HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA VATS",
        "authorized_official_first_name": "RENU",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "909-808-3585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ly
• Maggie Lyons Lyons Weller, PPS
• Patricia Eileen Lyons, M.F.T.
• Shani Marie Lyons
• Natalie Ma
• John Manfred Maas, EDD
• Victoria L Macarthur, M.S.
• Toni Kathleen Macdonald, MFT
• Kristina Marie Macias
• Karen Maciejko, NP

• Home Health Agency in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.