Active NPI
Senior Resources of the West
- Home Health Agency
- Petaluma, CA
National Provider Identifier
1760932941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 494700013
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Jennifer Elizabeth Sena
- Seneca Family of Agencies (Seneca Compass - Bodega)
- Seneca Family of Agencies (Sonoma Kuck Lane)
- Seneca Family of Agencies (Seneca Compass-Petaluma)
- Seneca Family of Agencies (Sonoma Bodega)
- Angela Ruth Sens
- Sequoia Senior Solutions, Inc.
- Victoria Serrano
- Emily Sevin
- Kathleen (Catherine) Patricia Seymour
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.