NPIMap

Organization Active NPI

Prohealth Home Care Inc

  • Home Health Agency
  • Santa Rosa, CA
National Provider Identifier
1700301124
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROHEALTH HOME CARE INC
Practice address
1450 Neotomas Ave Ste 130a
Santa Rosa, CA 95405-7575
Phone
(877) 667-8770
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Mohamed Marleen
Title
President
Phone
(877) 667-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1450 Neotomas Ave Ste 130a
Santa Rosa, CA 95405-7575

Mailing address

2700 Zanker Rd Ste 180
San Jose, CA 95134-2140
Phone (408) 451-9055

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Home Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1450 Neotomas Ave
Ste 130A
Santa Rosa, CA 95405
Phone (877) 667-8770

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1700301124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ZANKER RD STE 180",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342140",
            "telephone_number": "408-451-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NEOTOMAS AVE STE 130A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057575",
            "telephone_number": "877-667-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "MARLEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-667-8770"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 7, 2017; 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.