Organization Active NPI

Waterfront Healthcare, Inc.

  • Community Based Hospice Care Agency
  • Concord, CA
National Provider Identifier
1720505936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WATERFRONT HEALTHCARE, INC.
Practice address
2300 Clayton Rd Ste 1220
Concord, CA 94520-2100
Phone
(510) 560-2012
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John J. Gochnour, ESQ.
Title
Vice President
Phone
(208) 401-1365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2300 Clayton Rd Ste 1220
Concord, CA 94520-2100

Mailing address

2300 Clayton Rd Ste 1220
Concord, CA 94520-2100
Phone (510) 560-2012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720505936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CLAYTON RD STE 1220",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202100",
            "telephone_number": "510-560-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLAYTON RD STE 1220",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202100",
            "telephone_number": "510-560-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOCHNOUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-401-1365",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.