Dignity Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

070000473 Issued in CA

Legal business name

DIGNITY HEALTH

Doing business as

Dominican Home Health

Practice address

2045 40TH Ave
Suite a
Capitola, CA 95010-2549

Phone

(831) 465-7988

Fax

(831) 465-7996

NPI assigned

Mar 19, 2007

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

DIGNITY HEALTHAs reported in NPPES

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

Authorized official

Name

Michael Walsh

Title

Chief Financial Officer

Phone

(831) 462-7504

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dominican Home Health Doing business as

Part of

Mercy Medical Ctr

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele Annette Koch, PT, CLT-LANA, WCC

  • Physical Therapist
  • Capitola, CA
  • NPI 1114633542
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1740304112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "address_2": "HOME HEALTH",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "831-462-7501",
            "fax_number": "831-462-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 40TH AVE",
            "address_2": "SUITE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102549",
            "telephone_number": "831-465-7988",
            "fax_number": "831-465-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "831-462-7504"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "070000473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ24141Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "CGP170499",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS - SP TAX ID",
            "identifier": "721561119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08052G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominican Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Delear
• Kylie Nicole Denton, FNP
• Daniel J Devine, L.AC.
• Vanessa Diamond, DPT
• Celeste Diaz
• Lucy H DO, OD
• Trang Thuy Thi Doan, PHARMD
• Jindati Doelter
• Gillian Lynn Dowling, LCSW
• Dr Duncan M McCollum DC a Chiroprac Corp (McCollum Family Chiropractic Centers)

• Home Health Agency in Capitola, CA
• Providers in Capitola, 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 Sep 30, 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.