Active NPI
Elder Empowerment Foundation
- Home Health Agency
- Vacaville, CA
National Provider Identifier
1326862277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELDER EMPOWERMENT FOUNDATION
- Practice address
- 412 Mount Vernon Cir
Vacaville, CA 95688-9405 - Phone
- (707) 408-2162
- NPI assigned
- Nov 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pierre-Andre M Malbrough
- Title
- Executive Director
- Phone
- (510) 798-7209
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
412 Mount Vernon Cir
Vacaville, CA 95688-9405
Mailing address
3220 Blume Dr Ste 100
San Pablo, CA 94806-1903
Phone (415) 275-0839
National Provider Directory
National Provider DirectoryLocations
3220 Blume Dr
Ste 100
San Pablo, CA 94806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1326862277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 BLUME DR STE 100",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948061903",
"telephone_number": "415-275-0839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 MOUNT VERNON CIR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889405",
"telephone_number": "707-408-2162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDER EMPOWERMENT FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "MALBROUGH",
"authorized_official_first_name": "PIERRE-ANDRE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "510-798-7209",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.