Organization Active NPI

Synergyhomecare Ca62

  • In Home Supportive Care Agency
  • San Rafael, CA
National Provider Identifier
1376450627
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SYNERGYHOMECARE CA62
Practice address
712 D St Ste I
San Rafael, CA 94901-3706
Phone
(415) 727-0531
Fax
(415) 727-0531
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Ms. Debra Prince
Title
Owner
Phone
(805) 883-8744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

712 D St Ste I
San Rafael, CA 94901-3706

Mailing address

712 D St Ste I
San Rafael, CA 94901-3706
Phone (805) 883-8744

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1376450627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 D ST STE I",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013706",
            "telephone_number": "805-883-8744",
            "fax_number": "805-883-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 D ST STE I",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013706",
            "telephone_number": "415-727-0531",
            "fax_number": "415-727-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGYHOMECARE CA62",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-883-8744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.