Organization Active NPI

Benjamin Healthcare

Doing business as Comprehensive Home Healthcare & Hospice

  • Home Health Agency
  • Vallejo, CA
National Provider Identifier
1205297702
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550002531 Issued in CA
Legal business name
BENJAMIN HEALTHCARE
Doing business as
Comprehensive Home Healthcare & Hospice
Crossroads Home Health Vallejo
Practice address
127 Hospital Dr Ste 202
Vallejo, CA 94589-2500
Phone
(707) 554-4003
NPI assigned
Mar 10, 2016
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Steven Burningham
Title
Ceo & Managing Director
Phone
(415) 845-3213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550002531 CA Primary

Addresses

Primary practice location

127 Hospital Dr Ste 202
Vallejo, CA 94589-2500

Mailing address

1881 W Traverse Parkway Suite E#112
Lehi, UT 84048-6029

Other names 2

  • Comprehensive Home Healthcare & Hospice Doing business as
  • Crossroads Home Health Vallejo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190204000134 CA Part A Provider - Home Health Agency 8628315355 Practice locations: Vallejo, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205297702. Details of each certification follow.

Home health agency certification: CCN 059617

Legal name
BENJAMIN HEALTHCARE
Doing business as
CROSSROADS HOME HEALTH VALLEJO
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 28, 2014
Last certification
Oct 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2019 in UT
Enrollment address
127 Hospital Dr
Ste 202
Vallejo, CA 94589-2500

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crossroads Home Health VallejoCCN 059617 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 28, 2014
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
Benjamin Healthcare2 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

127 Hospital Dr
Ste 202
Vallejo, CA 94589
Phone (707) 554-4003

127 Hospital Dr
Ste 202B
Vallejo, CA 94589
Phone (707) 554-4003

312 Georgia St
Ste 220
Vallejo, CA 94590
Phone (707) 554-4003

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
Impact Healthcare, LLC Organization, Lehi, UT LLC 5% Or Greater Direct Ownership Interest Dec 1, 2018 100%
Steven R Burningham Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 25%
Corporate OfficerBoard Member Dec 1, 2018 25%
Corporate DirectorBoard Member Dec 1, 2018 25%
W-2 Managing EmployeeBoard Member Dec 1, 2018 25%
Michael L Connelly Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 25%
Corporate OfficerBoard Member Dec 1, 2018 25%
Corporate DirectorBoard Member Dec 1, 2018 25%
Cody J Campbell Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 25%
Corporate OfficerPresident/Board Member Dec 1, 2018 25%
Corporate DirectorPresident/Board Member Dec 1, 2018 25%
Talmadge L Price Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 25%
Corporate OfficerBoard Member Dec 1, 2018 25%
Corporate DirectorBoard Member Dec 1, 2018 25%

Facilities with the same owner 3

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

Change-of-ownership history 2

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the buyer Comprehensive Home Health Care & Hospice, Inc.CCN 059617, CA, NPI 1205297702
Dec 1, 2018 Change of OwnershipThis provider was the seller Crossroads Home Health VallejoCCN 059617, CA, NPI 1205297702

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1205297702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W TRAVERSE PARKWAY SUITE E#112",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840486029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HOSPITAL DR STE 202",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892500",
            "telephone_number": "707-554-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "BURNINGHAM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO & MANAGING DIRECTOR",
        "authorized_official_telephone_number": "415-845-3213"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550002531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Home Healthcare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Home Healthcare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Home Health Vallejo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.