Organization Active NPI

Elder Empowerment Foundation

  • Home Health Agency
  • Vacaville, CA
National Provider Identifier
1326862277
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 7, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.