Shafer Professional Home Care Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHAFER PROFESSIONAL HOME CARE SERVICE LLC

Practice address

18306 Majestic View Dr
Anderson, CA 96007-9582

Phone

(530) 560-5187

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Kathleen Shafer

Title

Owner/President

Phone

(530) 560-5187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1306624507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18306 MAJESTIC VIEW DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960079582",
            "telephone_number": "530-560-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18306 MAJESTIC VIEW DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960079582",
            "telephone_number": "530-560-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFER PROFESSIONAL HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "530-560-5187"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khloe Sarmanto
• Keila Delaine Saucedo
• Jevonne Noelle Service, PHARM.D.
• Poonam Seth
• Aubrey Severne, LM, CPM
• Zena Shamas Yousif
• Shasta Community Health Center (Anderson Family Health & Dental Center)
• Shasta Family Health Care Services
• Lily Parker Smith, DMD
• Melissa Anne Smith, C.O.T.A./L

• In Home Supportive Care Agency in Anderson, CA
• Providers in Anderson, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.