NPIMap

Organization Active NPI

Colusa Medical Center LLC

Doing business as Progressive Home Health

  • Home Health Agency
  • Colusa, CA
National Provider Identifier
1558800243
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COLUSA MEDICAL CENTER LLC
Doing business as
Progressive Home Health
Practice address
199 E Webster St
Colusa, CA 95932-2954
Phone
(530) 458-1808
NPI assigned
Feb 15, 2017
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Tammy Jean Thompson
Title
VP Finance
Phone
(209) 248-7851

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Community Based Hospice Care Agency 251G00000X
Inpatient Hospice 315D00000X

Addresses

Primary practice location

199 E Webster St
Colusa, CA 95932-2954

Mailing address

700 17TH St Ste 201D
Modesto, CA 95354-1249
Phone (530) 458-1808

Other names 1

  • Progressive Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180320002997 CA Part A Provider - Home Health Agency 4183901978 Practice locations: Colusa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558800243. Details of each certification follow.

Home health agency certification: CCN 553155

Legal name
COLUSA MEDICAL CENTER, LLC
Doing business as
COLUSA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 19, 2018
Last certification
Nov 19, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
199 E Webster St
Colusa, CA 95932-2954

Other NPIs with the same Medicare PAC ID 11

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Colusa Medical Center Home HealthCCN 553155 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 19, 2018
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
Colusa Medical Center LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Gurpreet Singh Randhawa Individual 5% Or Greater Direct Ownership Interest Nov 16, 2016 100%
Corporate OfficerBoard Member, President Nov 16, 2016
Tammy Thompson Individual Corporate DirectorVP of Financing May 1, 2017
W-2 Managing EmployeeVP of Financing May 1, 2017

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 11

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

FacilityTypeRoleSince
Colusa Medical Center - AcuteColusa, CA, CCN 050783 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center-AcuteColusa, CA, CCN 05U783 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center - SNFColusa, CA, CCN 555909 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jun 27, 2018
Colusa Medical CenterWilliams, CA, CCN 058696 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical CenterArbuckle, CA, CCN 058695 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical CenterColusa, CA, CCN 058697 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center, LLCRed Bluff, CA, CCN 058722 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Colusa Medical Center, LLCOrland, CA, CCN 058720 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
First Care Medical AssociatesOrland, CA, CCN 058922 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Glenn Family Medical GroupWillows, CA, CCN 058572 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025
Family Care CenterWillows, CA, CCN 053981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025

Owned or controlled facilities with NPI records 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1558800243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST STE 201D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541249",
            "telephone_number": "530-458-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 E WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322954",
            "telephone_number": "530-458-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUSA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "209-248-7851"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colusa, CA

Sources for this page

Verify at the official NPI Registry.