Organization Active NPI

Fog City Home Health

  • Home Health Agency
  • San Francisco, CA
National Provider Identifier
1396010864
Registry record updated Mar 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E0000X Issued in CA
Legal business name
FOG CITY HOME HEALTH
Practice address
595 Buckingham Way Ste 317
San Francisco, CA 94132-1911
Phone
(415) 515-2204
Fax
(415) 665-2775
NPI assigned
Mar 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2012

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

Authorized official

Name
Ms. Karen L Schulkin, RN
Title
Administrator
Phone
(415) 515-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E0000X CA Primary

Addresses

Primary practice location

595 Buckingham Way Ste 317
San Francisco, CA 94132-1911

Mailing address

595 Buckingham Way Ste 317
San Francisco, CA 94132-1911
Phone (415) 515-2204

National Provider Directory

National Provider Directory

Locations

595 Buckingham Way
Ste 317
San Francisco, CA 94132
Phone (415) 665-0220

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331942400000",
    "number": "1396010864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BUCKINGHAM WAY STE 317",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321911",
            "telephone_number": "415-515-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BUCKINGHAM WAY STE 317",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321911",
            "telephone_number": "415-515-2204",
            "fax_number": "415-665-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOG CITY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHULKIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-515-2204",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "251E0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2012; 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.