NPIMap

Organization Active NPI

Professional Home Care Associates

  • Home Health Agency
  • Fremont, CA
National Provider Identifier
1619967619
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
. Issued in CA
Legal business name
PROFESSIONAL HOME CARE ASSOCIATES
Practice address
2296 Country Dr
Fremont, CA 94536-5315
Phone
(510) 797-9299
NPI assigned
Oct 21, 2005
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Terry Ann Toth
Title
Supervisor
Phone
(510) 377-7699

Specialties & licenses 2

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

Addresses

Primary practice location

2296 Country Dr
Fremont, CA 94536-5315

Mailing address

2296 Country Dr
Fremont, CA 94536-5315
Phone (510) 797-9299

Other practice location 1

2169 Las Positas Ct
Livermore, CA 94551-9231
Phone (925) 243-1385

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030701000060 CA Part A Provider - Home Health Agency 5092625095 Practice locations: Fremont, CA; Livermore, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619967619. Details of each certification follow.

Home health agency certification: CCN 557290

Legal name
PROFESSIONAL HOME CARE ASSOCIATES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 22, 1993
Last certification
Feb 7, 2020
Ownership / control type
Proprietary
Organization structure
PartnershipProprietary
Incorporated
Jul 15, 1999 in CA
Enrollment address
2296 Country Dr
Fremont, CA 94536-5315

Care Compare: Home health agency

Medicare Care Compare
Listed as
Professional Home Care AssociatesCCN 557290 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 22, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D0922656Professional Home Care Associates2296 Country Drive, Fremont, CA 94536Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

2296 Country Dr
Fremont, CA 94536
Phone (510) 608-3733

1111 E Stanley Blvd
#D
Livermore, CA 94550
Phone (510) 299-1094

2169 Las Positas Ct
Livermore, CA 94551

2169 Las Positas Ct
Ste H
Livermore, CA 94551

3449 Valle Verde Dr
Napa, CA 94558
Phone (707) 226-6668

3449 Valle Verde Dr
#C
Napa, CA 94558
Phone (707) 226-6668

805 Veterans Blvd
Ste 303
Redwood City, CA 94063

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
Mary G Rice Individual W-2 Managing EmployeeDopcs Mar 27, 2018 100%
Rodney a Silveira Individual 5% Or Greater Direct Ownership InterestOwner Jun 22, 1993 100%
Corporate OfficerPresident/Owner Jun 22, 1993 100%

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1619967619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 COUNTRY DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365315",
            "telephone_number": "510-797-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 COUNTRY DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365315",
            "telephone_number": "510-797-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2169 Las Positas Ct",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945519231",
            "country_code": "US",
            "telephone_number": "925-243-1385",
            "fax_number": "510-608-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "TOTH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "510-377-7699"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": ".",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.