Pine Flat Ranch, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCO494700016 Issued in CA

Legal business name

PINE FLAT RANCH, INC.

Doing business as

Home Care Assistance Sonoma County

Practice address

170 Farmers LN Ste 11
Santa Rosa, CA 95405-4750

Phone

(707) 843-3851

Fax

(707) 595-3227

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter John HolewinskiNPI 1972053114

Title

Owner-President

Phone

(707) 843-3851

Specialties & licenses 1

Addresses

Other names 1

• Home Care Assistance Sonoma County Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter John Holewinski

  • Specialist
  • Santa Rosa, CA
  • NPI 1972053114
  NPD (past) Authorized official

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1396295531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FARMERS LN STE 11",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054750",
            "telephone_number": "707-843-3851",
            "fax_number": "707-595-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FARMERS LN STE 11",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054750",
            "telephone_number": "707-843-3851",
            "fax_number": "707-595-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE FLAT RANCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "HOLEWINSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "707-843-3851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "HCO494700016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Assistance Sonoma County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Allena Pilgrim, M.D.
• Sarah Pilgrim, LMFT
• Shawnna Marie Pillus, RN
• Britni Anne Pimental
• Arlen Pimentel
• Amber Marie Pineda
• Piner-Olivet Union School District
• Patti Ann Pines
• Joseph Duane Pinkard, RADT
• Michael R. Pinkston, PHD.

• In Home Supportive Care Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.