Active NPI
Continuum Care North Bay, LLC
- Community Based Hospice Care Agency
- Petaluma, CA
National Provider Identifier
1649780685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CONTINUUM CARE NORTH BAY, LLC
- Practice address
- 5401 Old Redwood Hwy Ste 110
Petaluma, CA 94954-7128 - Phone
- (415) 917-6388
- NPI assigned
- Oct 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5401 Old Redwood Hwy Ste 110
Petaluma, CA 94954-7128
Mailing address
1234 Chestnut St Ste 114
Newton, MA 02464-1491
Phone (434) 977-9711
National Provider Directory
National Provider DirectoryLocations
5401 Old Redwood Hwy
Ste 110
Petaluma, CA 94954
Phone (415) 917-6388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1649780685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 CHESTNUT ST STE 114",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641491",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 OLD REDWOOD HWY STE 110",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949547128",
"telephone_number": "415-917-6388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTINUUM CARE NORTH BAY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-04",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.