St. Joseph Home Care Network
Organization Active NPI Community Based Hospice Care Agency · Petaluma, CA
NPI 1174065809 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1174065809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ST. JOSEPH HOME CARE NETWORK
- Practice address
- 416 Payran St
Petaluma, CA 94952-5907 - Phone
- (707) 778-6242
- Fax
- (707) 778-0144
- NPI assigned
- Nov 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Donald W Anderson Jr.
- Title
- Assistant Secretary for Enrollment
- Phone
- (425) 358-9786
Owners & managing parties with NPI records 10
-
Kateri Murray, M.D.
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Member of 2
Member organizations 1
Facilities with the same owner 139
Practitioners 3
-
Danna Maria Brock, CNP
-
Deborah Lee Papazian, P.T.
Affiliated clinicians 2
-
Kateri Murray, M.D.
Medicare Care Compare: Hospice
- Listed as
- Providence at Home With Compassus Hospice Care, Sonoma County
- Ownership
- Non-Profit
- Certified
- Aug 10, 1989
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospice certification: CCN 051557
- Legal name
- ST JOSEPH HOME CARE NETWORK
- Doing business as
- PROVIDENCE HOSPICE SONOMA COUNTY
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 10, 1989
- Last certification
- Apr 12, 2017
- Ownership / control type
- Non-Profit - Church
- Most recent change of ownership
- Sep 29, 2025
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 19, 1994 in CA
- Enrollment address
- 416 Payran St
Petaluma, CA 94952-5907
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Dwight Story Fullerton |
Corporate Director |
Mar 2, 2021 | |
| Paul Edward Swafford |
Corporate Director |
Mar 4, 2022 | |
| Terri P Warren |
Corporate Officer |
Apr 13, 2023 | |
| Providence Health & Services - Washington |
Operational/Managerial Control | Jul 1, 2016 | |
| Janice Burger |
Corporate Director | Dec 28, 2021 | |
| Terry Rogers |
Corporate Director |
Mar 2, 2021 | |
| Robert McCann |
Corporate Director |
Mar 2, 2021 | |
| Kateri Murray |
Contracted Managing Employee | May 1, 2023 | |
| Jody Albright |
Corporate Director |
Mar 2, 2021 | |
| Nicole Sikes |
W-2 Managing Employee |
Aug 22, 2022 | |
| Malisa J Westlund |
Corporate Officer |
Jan 3, 2022 | |
| James Zapp |
Corporate Director |
Mar 2, 2021 | |
| Larry Schecter |
Corporate Director |
Mar 2, 2021 | |
| Dianna Reely |
Corporate Director |
Apr 13, 2023 | |
| Donald Wayne Anderson |
Corporate Officer |
Jan 1, 2017 | |
| Gregory David Hoffman |
Corporate Officer |
Oct 1, 2020 | |
| St. Joseph Health System |
Other | Mar 8, 2017 | |
| Rachel Arrington |
Corporate Officer |
Apr 13, 2023 | |
| Shayna Stiles |
W-2 Managing Employee |
Nov 1, 2022 | |
| St Joseph Health Northern California LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2018 | 100% |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Providence Hospice Napa Valley |
Hospice | Other | Jun 1, 2020 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2017 | Change of Ownership |
Hospice of Petaluma |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171004002045 | CA | Part a Provider - Hospice | 2860477403 | Practice locations: Santa Rosa, CA; Petaluma, CA |
| O20210203002973 | CA | Part B Supplier - Clinic/Group Practice | 2860477403 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Rosa, CA |
National Provider Directory
- Tax ID family
- St Joseph Home Care Network
Locations
1131 Main St
Fortuna, CA 95540
Phone (707) 725-3389
205 East St
Healdsburg, CA 95448
Phone (707) 431-1135
2700 Napa Valley Corporate Dr
Ste C
Napa, CA 94558
Phone (707) 257-4124
170 Professional Center Dr
Ste B
Rohnert Park, CA 94928
Phone (707) 206-9124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CA | Yes |
Addresses
Primary practice location
416 Payran St
Petaluma, CA 94952-5907
Mailing address
PO Box 31001-1986
Pasadena, CA 91110-1986
Other names
- Providence Hospice Sonoma County
Other providers in Petaluma, CA
- Sport & Spine Therapy of Marin Inc
- Elizabeth Spranger
- SRM Alliance Hospital Services
- St Jude Hospital Yorba Linda
- St Jude Hospital Yorba Linda
- Krystallin Stacy
- Arnella O Stafford
- Ariel N Stanford
- Thomas Spencer Stanton II
- Rebecca A Stanwyck
All providers in Petaluma, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.