Organization Active NPI

Senior Resources of the West

  • Home Health Agency
  • Petaluma, CA
National Provider Identifier
1760932941
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
494700013 Issued in CA
Legal business name
SENIOR RESOURCES OF THE WEST
Practice address
1425 N McDowell Blvd Ste 110
Petaluma, CA 94954-6517
Phone
(415) 583-4789
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Tracy Powell
Title
Vice President
Phone
(925) 956-7397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 494700013 CA Primary

Addresses

Primary practice location

1425 N McDowell Blvd Ste 110
Petaluma, CA 94954-6517

Mailing address

1425 N McDowell Blvd Ste 110
Petaluma, CA 94954-6517

National Provider Directory

National Provider Directory

Locations

1425 N McDowell Blvd
Ste 110
Petaluma, CA 94954
Phone (415) 583-4789

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1760932941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MCDOWELL BLVD STE 110",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCDOWELL BLVD STE 110",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546517",
            "telephone_number": "415-583-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RESOURCES OF THE WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "925-956-7397"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "494700013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.