Brabetz, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010000349 Issued in CA

Legal business name

BRABETZ, INC.

Practice address

1378A Corporate Center Parkway
Santa Rosa, CA 95407-5462

Phone

(707) 546-8773

Fax

(707) 546-8788

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Diane Brabetz, RN, CPNP, PHN

Title

Administrator

Phone

(707) 546-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AT HOME NURSING SERVICES Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Home health agency certification: CCN 05K051

Legal name

AT HOME NURSING SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 1, 1999

Last certification

Aug 8, 2017

Ownership / control type

Proprietary

Facility address

1378 Corporate Center Parkway, Ste a
Santa Rosa, CA 95407

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1831230218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378A CORPORATE CENTER PARKWAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075462",
            "telephone_number": "707-546-8773",
            "fax_number": "707-546-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378A CORPORATE CENTER PARKWAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075462",
            "telephone_number": "707-546-8773",
            "fax_number": "707-546-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRABETZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BRABETZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-546-8773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CPNP, PHN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "010000349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70290F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AT HOME NURSING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J. Boyers, MD
• Patricia Jean Boyle, PTA
• John Michael Bozanich, DDS, MS
• Marek Bozdech, M.D.
• Jenna Grace Bozzetto
• Ethan Brabo
• Albert Bracamonte
• Braden Partners LP
• Bradley I. Hall, O.D., P.C.
• Greer Verson Bradley, O.T.

• Home Health Agency in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.