Active NPI
Wine Country Home Care
- In Home Supportive Care Agency
- Santa Rosa, CA
National Provider Identifier
1417463365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- WINE COUNTRY HOME CARE
- Practice address
- 2135 Armory Dr # 100
Santa Rosa, CA 95401-3610 - Phone
- (707) 387-0722
- NPI assigned
- Dec 14, 2017
- 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
- Michael Lynch
- Title
- Owner
- Phone
- (707) 387-0722
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 494700025 | CA | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2135 Armory Dr # 100
Santa Rosa, CA 95401-3610
Mailing address
2135 Armory Dr # 100
Santa Rosa, CA 95401-3610
Phone (707) 387-0722
Other names 1
- DBA Amada Senior Care Sonoma & Napa Counties
National Provider Directory
National Provider DirectoryLocations
4927 Sonoma Hwy
Ste D1
Santa Rosa, CA 95409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1417463365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 ARMORY DR # 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954013610",
"telephone_number": "707-387-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 ARMORY DR # 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954013610",
"telephone_number": "707-387-0722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINE COUNTRY HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-14",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-387-0722"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "494700025",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Amada Senior Care Sonoma & Napa Counties",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.