NPIMap

Organization Active NPI

United Homecare of Northern California, LC

Doing business as Amador Home Health

  • Home Health Agency
  • Jackson, CA
National Provider Identifier
1174520027
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
100000267 Issued in CA
Legal business name
UNITED HOMECARE OF NORTHERN CALIFORNIA, LC
Doing business as
Amador Home Health
Practice address
245 New York Ranch Rd
Ste C
Jackson, CA 95642-2147
Phone
(209) 223-3866
Fax
(209) 223-3882
NPI assigned
Jul 7, 2005
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN HOME HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dee R Bangerter
Title
Ceo
Phone
(801) 397-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 100000267 CA Primary

Addresses

Primary practice location

245 New York Ranch Rd
Ste C
Jackson, CA 95642-2147

Mailing address

598 W 900 S Ste 220
Woods Cross, UT 84010-8195
Phone (801) 397-4697

Other names 1

  • Amador Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DSM@rockymountaincare.brightreedirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713001277 CA Part A Provider - Home Health Agency 0446286132 Practice locations: Jackson, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174520027. Details of each certification follow.

Home health agency certification: CCN 557014

Legal name
UNITED HOMECARE OF NORTHERN CALIFORNIA, LC
Doing business as
AMADOR HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 1988
Last certification
Dec 21, 2017
Ownership / control type
Proprietary
Organization structure
LLC
Incorporated
Mar 1, 1999 in UT
Enrollment address
245 New York Ranch Rd
Ste C
Jackson, CA 95642-2172
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
United Home Care of Northern CaliforniaCCN 557014 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Amador Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

245 New York Ranch Rd
Jackson, CA 95642

245 New York Ranch Rd
Ste C
Jackson, CA 95642
Phone (209) 223-3866

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Stacey Mathis Individual W-2 Managing EmployeeAd; May 23, 2005 100%
Edward L Bangerter Individual 5% Or Greater Indirect Ownership InterestManaging Member Apr 1, 2025 12.5%
Corporate OfficerManaging Member Apr 1, 2025
Rocky Mountain Home Health LLC Organization, Murray, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 22, 1999 100%
Johnathan Bangerter Individual 5% Or Greater Indirect Ownership InterestTrustee 65% Indirect Owner 12.50% Jan 1, 2025 77.5%
Corporate OfficerManaging Member Apr 1, 2025
Kelly Snowball Individual Operational/Managerial ControlChain Home Office Coo Apr 15, 2019

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 38

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1174520027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W 900 S STE 220",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108195",
            "telephone_number": "801-397-4697",
            "fax_number": "801-296-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NEW YORK RANCH RD",
            "address_2": "STE C",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422147",
            "telephone_number": "209-223-3866",
            "fax_number": "209-223-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOMECARE OF NORTHERN CALIFORNIA, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN HOME HEALTH, LLC",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "BANGERTER",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "100000267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSM@rockymountaincare.brightreedirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Secure Messaging Inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "245 New York Ranch Rd",
            "address_2": "Ste C",
            "city": "Jackson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956422147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amador Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.