St. Jude Home Health Agency Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. JUDE HOME HEALTH AGENCY CORPORATION

Practice address

1106 W Lagoon Rd
Pleasanton, CA 94566-3433

Phone

(925) 474-3439

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Elinore Ramas

Title

Director of Quality

Phone

(510) 410-0291

Specialties & licenses 1

Addresses

Other names 1

• St. Jude Home Health Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Prorehab Healthcare Group of Companies

  • Home Health Agency
  • Pleasanton, CA
  • NPI 1912359449

  Sold to, 2017-12-29

  CMS change of ownership

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1598067415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W LAGOON RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W LAGOON RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663433",
            "telephone_number": "925-474-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE HOME HEALTH AGENCY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "RAMAS",
        "authorized_official_first_name": "ELINORE",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY",
        "authorized_official_telephone_number": "510-410-0291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Jude Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christiane Desiree J W Speed, PSY.D.
• Spinal Health Chiropractic
• Spinal Health Chiropractic a Spuller Corporation
• Ryan Spuller, D.C.
• Sowjanya Srikantam, BDS
• Gary Duane Stafford, DDS
• Jasarah A Stafford
• James William Stalker, D.C.
• Sarah Stallings
• Stan T Lin MD Inc

• Home Health Agency in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.