Organization Active NPI

Tamarack Healthcare LLC

  • Home Health Agency
  • Concord, CA
National Provider Identifier
1508638040
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TAMARACK HEALTHCARE LLC
Practice address
1220 Concord Ave Ste 390
Concord, CA 94520-4906
Phone
(925) 674-2560
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1220 Concord Ave Ste 390
Concord, CA 94520-4906

Mailing address

1220 Concord Ave Ste 390
Concord, CA 94520-4906
Phone (925) 674-2560

Other names 1

  • Muir Home Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2304308Tamarack Healthcare LLC1220 Concord Ave, Ste 390, Concord, CA 94520Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

1220 Concord Ave
Ste 390
Concord, CA 94520
Phone (925) 674-2560

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1508638040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CONCORD AVE STE 390",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204906",
            "telephone_number": "925-674-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CONCORD AVE STE 390",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204906",
            "telephone_number": "925-674-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muir Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muir Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.