Kenton Weaver

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

Progressive Hospice Services
11879 Kemper Road Suite #17
Auburn, CA 95603

Phone

(530) 887-2143

NPI assigned

Jul 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granite Point Capital II LLC

  • Community Based Hospice Care Agency
  • Auburn, CA
  • NPI 1902565310
  NPD
• Granite Point Partners LLC

  • Home Health Agency
  • Auburn, CA
  • NPI 1396770269
  NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1831760180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 17",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROGRESSIVE HOSPICE SERVICES",
            "address_2": "11879 KEMPER ROAD SUITE #17",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-887-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KENTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Watson I, D.C.
• Anna Watts, RSLD, ABOC
• Wattswerks Inc
• Wattswerks, LLC
• Brandon Wautlet
• Teresa Baisley Webb, LCSW
• Carey Webster, FNP
• Tom Webster, PHARM D
• Margo Wegner
• Weimar Medical Group, Inc.

• Home Health Agency in Auburn, CA
• Providers in Auburn, 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 Dec 15, 2021; 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.