St. Vincent Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. VINCENT HOME HEALTH CARE, INC.

Practice address

24301 Southland Dr Ste 216
Hayward, CA 94545-1546

Phone

(510) 274-5771

Fax

(510) 274-5798

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Rizalino Mandawe

Title

President/Ceo

Phone

(510) 274-5771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1699540245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 216",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451546",
            "telephone_number": "510-274-5771",
            "fax_number": "510-274-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 216",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451546",
            "telephone_number": "510-274-5771",
            "fax_number": "510-274-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MANDAWE",
        "authorized_official_first_name": "RIZALINO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "510-274-5771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Morgan Rene Stack, RN
• Frank Eugene Staggers Jr., M.D.
• Philip Keller Staley, DDS
• Stanislaus County
• Stanislaus County

• Home Health Agency in Hayward, CA
• Providers in Hayward, 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 Apr 25, 2024; 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.