Athome Healthcare Team - Peninsula LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

ATHOME HEALTHCARE TEAM - PENINSULA LLC

Practice address

533 Airport Blvd Ste 445
Burlingame, CA 94010-2018

Phone

(707) 255-4401

NPI assigned

Dec 16, 2019

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Valencerina

Title

Vice President

Phone

(707) 312-1305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1295373751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TOWER RD STE 15",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945039650",
            "telephone_number": "707-255-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 AIRPORT BLVD STE 445",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102018",
            "telephone_number": "707-255-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHOME HEALTHCARE TEAM - PENINSULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "VALENCERINA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-312-1305"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.