In Home Health LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

100000738 Issued in CA

Legal business name

IN HOME HEALTH LLC

Doing business as

ProMedica Hospice (San Rafael)
ProMedica Hospice (Santa Rosa)

Practice address

3700 Old Redwood Hwy Ste 103
Santa Rosa, CA 95403-5740

Phone

(707) 523-0111

Fax

(707) 523-1034

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• ProMedica Hospice (San Rafael) Doing business as
• ProMedica Hospice (Santa Rosa) Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mireen Quizon Delos Santos, N.P.

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1538404629
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1750333977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: DEAN SHIPMAN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43604",
            "telephone_number": "419-254-7841",
            "fax_number": "419-252-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 OLD REDWOOD HWY STE 103",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035740",
            "telephone_number": "707-523-0111",
            "fax_number": "707-523-1034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Northgate Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949032575",
            "country_code": "US",
            "telephone_number": "415-472-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "100000738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC-01696F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (San Rafael)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Santa Rosa)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Abueg Ilustre, MD
• Audri Im
• Anina Christine Imhof, PT, DPT
• Joseph Herbert Immel
• Sabahat Latif Imran, MPHARM.
• In Home Health, LLC (ProMedica Hospice (Santa Rosa))
• Inadvance Medicine Associates, P.C. (Passport Health)
• Jamaica Ince-Galloway
• Christopher Inclan
• Individual's Now, Inc (Social Advocates for Youth - Tamayo Village)

• Community Based Hospice Care Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.