United Home Care of Northern California, LC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

100000267 Issued in CA

Legal business name

UNITED HOME CARE OF NORTHERN CALIFORNIA, LC

Doing business as

United Personal Care Services

Practice address

245 New York Ranch Rd
Ste C
Jackson, CA 95642-2147

Phone

(209) 223-3866

Fax

(209) 223-9453

NPI assigned

Jun 30, 2005

Last updated

Oct 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

ROCKY MOUNTAIN HOME HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Dee R Bangerter

Title

President

Phone

(801) 397-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• United Personal Care Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Amador Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• United Homecare of Northern California, LC

  dba Amador Home Health

  • Home Health Agency
  • Jackson, CA
  • NPI 1174520027
  NPD tax ID

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1831196146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 300 S",
            "address_2": "STE 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104914",
            "telephone_number": "801-397-4100",
            "fax_number": "801-397-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NEW YORK RANCH RD",
            "address_2": "STE C",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422147",
            "telephone_number": "209-223-3866",
            "fax_number": "209-223-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOME CARE OF NORTHERN CALIFORNIA, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN HOME HEALTH, LLC",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "BANGERTER",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "100000267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AREA 12 AGENCY ON AGING",
            "identifier": "131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yen Tran, PHARM.D
• Jaime Dawn Trassare
• Melanie M Trowbridge, MD
• Trumania Inc
• Sharon Thao VI Tu, DMD
• United Homecare of Northern California, LC (Amador Home Health)
• Kim Marie Vagt, MS, RD, CDE
• Lisa G Valdez-Shaw
• Richard Harvey Vanbuskirk, O.D.
• Donald Duane Vanfossan, M.D.

• Home Health Agency in Jackson, CA
• Providers in Jackson, 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 Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.