NPIMap

Organization Active NPI

Western Health Resources

Doing business as Adventist Health Home Care Services

  • Home Health Agency
  • Willits, CA
National Provider Identifier
1467630764
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010000256 Issued in CA
Legal business name
WESTERN HEALTH RESOURCES
Doing business as
Adventist Health Home Care Services
Practice address
100 San Hedrin Cir
Willits, CA 95490-8753
Phone
(707) 459-1818
NPI assigned
Feb 8, 2008
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Melissa K Ward
Title
President
Phone
(916) 406-1430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010000256 CA Primary

Addresses

Primary practice location

100 San Hedrin Cir
Willits, CA 95490-8753

Mailing address

PO Box 619120
Roseville, CA 95661-9120
Phone (916) 406-1430

Other identifiers 1

IdentifierTypeStateIssuer
HHA57283FMedicaidCA

Other names 1

  • ADVENTIST HEALTH HOME CARE SERVICES Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000451 CA Part A Provider - Home Health Agency 3577661990 Practice locations: Willits, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467630764. Details of each certification follow.

Home health agency certification: CCN 557283

Legal name
WESTERN HEALTH RESOURCES
Doing business as
ADVENTIST HEALTH HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 7, 1993
Last certification
Oct 4, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 6, 1983 in CA
Enrollment address
100 San Hedrin Cir
Willits, CA 95490-8753

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adventist Health Home Care ServicesCCN 557283 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 7, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Western Health Private Homecare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kerry L Heinrich Individual OtherChain Home Office Administrator Jan 1, 2022
Meredith S Jobe Individual Corporate Officer Jan 13, 2012
Corporate Director May 31, 2016
Eric a Stevens Individual Corporate Officer Mar 3, 2022
Corporate Director Mar 3, 2022
Vickie L Prince Individual W-2 Managing EmployeeDPCS Designee Apr 1, 2023
Operational/Managerial ControlDPCS Designee Apr 1, 2023
Steve Bell Individual Contracted Managing EmployeeDirector, Finance Dec 10, 2023
Corporate DirectorDirector, Finance Apr 3, 2024
Operational/Managerial ControlDirector, Finance Dec 10, 2023
Jacalyn Liebowitz Individual Corporate Officer Sep 22, 2020
Corporate Director Sep 22, 2020
John a Beaman Individual Corporate OfficerCfo Apr 7, 2023
Corporate DirectorCfo Apr 7, 2023
Jennifer L Caudillo Individual W-2 Managing EmployeeAd; Mar 3, 2024
Operational/Managerial ControlAdministrator Mar 3, 2024
John R Dingilian Individual Corporate Director Apr 27, 2021
Melissa K Ward Individual Contracted Managing EmployeePresident Jul 12, 2020
Corporate OfficerPresident Jul 17, 2020
Corporate DirectorPresident Jul 17, 2020
Operational/Managerial ControlPresident Jul 12, 2020
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit, Chain home office Operational/Managerial Control May 6, 1983
Stephanie L Shettlesworth Individual W-2 Managing EmployeeClinical MGR, Admin Designee & DPCS May 12, 2024
Operational/Managerial ControlClinical MGR, Admin Designee & DPCS May 12, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventist Health Home Care ServicesYuba City, CA, CCN 057448 Home health agency 5% Or Greater Security Interest (100%) Nov 13, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 105

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 105

Practitioners & affiliated clinicians

Affiliated clinicians 23

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1467630764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619120",
            "telephone_number": "916-406-1430",
            "fax_number": "916-406-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAN HEDRIN CIR",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954908753",
            "telephone_number": "707-459-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-406-1430"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "010000256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57283F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 San Hedrin Cir",
            "city": "Willits",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954908753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTIST HEALTH HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willits, CA

Sources for this page

Verify at the official NPI Registry.