NPIMap

Organization Active NPI

Visiting Nurse Association of the Mother Lode

  • Home Health Agency
  • Sonora, CA
National Provider Identifier
1467450718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING NURSE ASSOCIATION OF THE MOTHER LODE
Practice address
20100 Cedar Rd N
Sonora, CA 95370-5957
Phone
(209) 533-6800
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Ann Montgomery
Title
Fiscal Supervisor
Phone
(209) 533-6839

Specialties & licenses 1

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

Addresses

Primary practice location

20100 Cedar Rd N
Sonora, CA 95370-5957

Mailing address

20100 Cedar Rd N
P.O. Box 4805
Sonora, CA 95370-5957
Phone (209) 533-6800

Other identifiers 1

IdentifierTypeStateIssuer
ZZR11355HMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Tuolumne County39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

20100 Cedar Rd N
Sonora, CA 95370
Phone (209) 533-6800

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467450718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 CEDAR RD N",
            "address_2": "P.O. BOX 4805",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705957",
            "telephone_number": "209-533-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 CEDAR RD N",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705957",
            "telephone_number": "209-533-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF THE MOTHER LODE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FISCAL SUPERVISOR",
        "authorized_official_telephone_number": "209-533-6839"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11355H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.