Organization Active NPI

PW Jade LLC

Doing business as Right at Home

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1558838029
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PW JADE LLC
Doing business as
Right at Home
Practice address
1221 Farmers LN Ste a
Santa Rosa, CA 95405-6712
Phone
(707) 843-5192
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Robert Paul BrohmerNPI 1891845772
Title
Manager
Phone
(707) 843-5192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1221 Farmers LN Ste a
Santa Rosa, CA 95405-6712

Mailing address

1221 Farmers LN Ste a
Santa Rosa, CA 95405-6712
Phone (707) 843-5192

Other names 1

  • Right at Home Doing business as

National Provider Directory

National Provider Directory

Locations

1825 4th St
Santa Rosa, CA 95404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1558838029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056712",
            "telephone_number": "707-843-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FARMERS LN STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056712",
            "telephone_number": "707-843-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PW JADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "BROHMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-843-5192"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right at Home",
            "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 May 26, 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.