Organization Active NPI

Home Health of California LLC

  • Home Health Agency
  • Stockton, CA
National Provider Identifier
1720539695
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH OF CALIFORNIA LLC
Practice address
11 S San Joaquin St
Ste 506
Stockton, CA 95202-3202
Phone
(209) 598-7617
Fax
(209) 463-8035
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Michael Cobb
Title
Administrator
Phone
(209) 598-7617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11 S San Joaquin St
Ste 506
Stockton, CA 95202-3202

Mailing address

11 S San Joaquin St
Ste 506
Stockton, CA 95202-3202

National Provider Directory

National Provider Directory

Locations

11 S San Joaquin St
Ste 506
Stockton, CA 95202
Phone (209) 598-7617

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1720539695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S SAN JOAQUIN ST",
            "address_2": "STE 506",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S SAN JOAQUIN ST",
            "address_2": "STE 506",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023202",
            "telephone_number": "209-598-7617",
            "fax_number": "209-463-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH OF CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-598-7617"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.