Organization Active NPI

Wine Country Home Care

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1417463365
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 29, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.