Active NPI
United Com-Serve
Doing business as Fremont - Rideout Home Health
- Home Health Agency
- Yuba City, CA
National Provider Identifier
1346219037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 230000143
- Legal business name
- UNITED COM-SERVE
- Doing business as
- Fremont - Rideout Home Health
- Practice address
- 939 Live Oak Blvd
Yuba City, CA 95991-4002 - Phone
- (530) 673-7100
- Fax
- (530) 673-7886
- NPI assigned
- Mar 15, 2006
- 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. Kevin Woodward
- Title
- Chief Financial Officer
- Phone
- (530) 751-4278
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 230000143 | CA | Primary |
| Home Health Agency | 251E00000X | 230000211 | CA |
Addresses
Primary practice location
939 Live Oak Blvd
Yuba City, CA 95991-4002
Mailing address
939 Live Oak Blvd
Yuba City, CA 95991-4002
Phone (530) 673-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA07448G | Medicaid | CA | |
| HHA07091F | Medicaid | CA |
Other names 1
- Fremont - Rideout Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 13, 2018 | Change of Ownership | Adventist Health Home Care Services |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Adventist Health Home Care Services
- Home Health Agency
- Yuba City, CA
- NPI 1639640089
Sold to, 2018-11-13
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1346219037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914002",
"telephone_number": "530-673-7100",
"fax_number": "530-673-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914002",
"telephone_number": "530-673-7100",
"fax_number": "530-673-7886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED COM-SERVE",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "WOODWARD",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "530-751-4278",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "230000143",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "230000211",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA07448G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA07091F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fremont - Rideout Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yuba City, CA
- Twin Cities Hearing Aid Center
- Twin Cities Surgical Hospital LLC (Sutter Surgical Hospital - North Valley)
- Torben Robert Ulrich, P.T.
- Akbar Umar, M.D.
- United Com-Serve (Fremont-Rideout Hospice)
- United Com-Serve (The Fountains)
- Uppers LLC (The Fountains)
- Misty Utter, MFTI
- Enoc Valderrama
- Lidia Valdizon, MASSAGE THERAPIEST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.