Organization Active NPI

Prohealth Home Care, Inc.

  • Community Based Hospice Care Agency
  • Santa Rosa, CA
National Provider Identifier
1801312483
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PROHEALTH HOME CARE, INC.
Practice address
1450 Neotomas Ave Ste 130B
Santa Rosa, CA 95405-7575
Phone
(877) 667-8770
NPI assigned
Aug 16, 2017
Last updated
Aug 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Mohamed Marleen
Title
President
Phone
(877) 667-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1450 Neotomas Ave Ste 130B
Santa Rosa, CA 95405-7575

Mailing address

2700 Zanker Rd Ste 180
San Jose, CA 95134-2140
Phone (408) 451-9055

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Home Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1375 Exposition Blvd
#250B
Sacramento, CA 95815
Phone (877) 267-1960

1590 Oakland Rd
Ste B205
San Jose, CA 95131
Phone (408) 451-9090

5201 Great America Pkwy
Ste 236
Santa Clara, CA 95054
Phone (323) 407-8084

1450 Neotomas Ave
Ste 130B
Santa Rosa, CA 95405
Phone (707) 278-9200

1776 W March Ln
#400B
Stockton, CA 95207
Phone (877) 667-8770

1776 W March Ln
Ste 400
Stockton, CA 95207

3255 W March Ln
#105A
Stockton, CA 95219
Phone (877) 300-6130

3255 W March Ln
#105B
Stockton, CA 95219

1990 N California Blvd
#755A
Walnut Creek, CA 94596
Phone (877) 258-0336

1990 N California Blvd
#755B
Walnut Creek, CA 94596
Phone (877) 258-0336

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1801312483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ZANKER RD STE 180",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342140",
            "telephone_number": "408-451-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NEOTOMAS AVE STE 130B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057575",
            "telephone_number": "877-667-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "MARLEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-667-8770"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.