Active NPI
St Joseph Health System Home Health Agency LLC
Doing business as Providence Home Health Orange County
- Home Health Agency
- Anaheim, CA
National Provider Identifier
1730162579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060000277
- Legal business name
- ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY LLC
- Doing business as
- Providence Home Health Orange County
- Practice address
- 200 W Center Street Promenade Ste 200C
Anaheim, CA 92805-3960 - Phone
- (714) 712-9500
- NPI assigned
- Nov 25, 2005
- 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
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary for Enrollment
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060000277 | CA | Primary |
Addresses
Primary practice location
200 W Center Street Promenade Ste 200C
Anaheim, CA 92805-3960
Mailing address
P.O. Box 31001-1956
Commercial Pay Lockbox
Pasadena, CA 91110-1956
Phone (714) 712-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330155323 | Other | CA | MEDI-CAL |
Other names 1
- Providence Home Health Orange County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
200 W Ctr St Promenade
#200C
Anaheim, CA 92805
Phone (714) 712-9500
200 W Ctr St Promenade
Ste 200C
Anaheim, CA 92805
Phone (657) 640-8090
27285 Las Ramblas
Ste 120
Mission Viejo, CA 92691
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 29, 2025 | Change of Ownership | Providence at Home With Compassus Home Health, Orange County |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Providence at Home with Compassus Home Health, Orange County
- Home Health Agency
- Anaheim, CA
- NPI 1588486716
Sold to, 2025-09-29
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1730162579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 31001-1956",
"address_2": "COMMERCIAL PAY LOCKBOX",
"city": "PASADENA",
"state": "CA",
"postal_code": "911101956",
"telephone_number": "714-712-9500",
"fax_number": "714-712-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W CENTER STREET PROMENADE STE 200C",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053960",
"telephone_number": "714-712-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-25",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY FOR ENROLLMENT",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "060000277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "330155323",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence Home Health Orange County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
- Brittany M Springle, MA
- Steve Sproule, LCSW
- Benjamin David Spurgeon, DO
- Betty A Spurgeon, NP
- SSK Acupuncture
- Erica St Lawrence, MD
- Ann Marie St. Andrew
- St. Joseph Health Personal Care Services (Providence Home Care)
- St. Joseph Health Personal Care Services, LLC
- St. Joseph Health System Home Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.