Organization Active NPI

United Com-Serve

Doing business as Fremont - Rideout Home Health

  • Home Health Agency
  • Yuba City, CA
National Provider Identifier
1346219037
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
230000143 Issued in CA
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

Updated by the provider on Aug 14, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA07448GMedicaidCA
HHA07091FMedicaidCA

Other names 1

  • Fremont - Rideout Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 13, 2018 Change of OwnershipThis provider was the seller Adventist Health Home Care ServicesCCN 057448, CA, NPI 1639640089

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Sources for this page

Verify at the official NPI Registry.