NPIMap

Organization Active NPI

Sutter Visiting Nurse Association and Hospice

Doing business as Sutter Care at Home

  • Home Health Agency
  • Lakeport, CA
National Provider Identifier
1871734244
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Doing business as
Sutter Care at Home
Practice address
5196 Hill Rd E Ste 204
Lakeport, CA 95453-6362
Phone
(707) 263-7400
Fax
(855) 656-5436
NPI assigned
Mar 16, 2009
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SUTTER VISITING NURSE ASSOCIATION AND HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Mr. Mark K McPherson
Title
Ceo
Phone
(707) 864-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5196 Hill Rd E Ste 204
Lakeport, CA 95453-6362

Mailing address

4830 Business Center Dr
Ste 140
Fairfield, CA 94534-1797
Phone (855) 771-0328

Other identifiers 1

IdentifierTypeStateIssuer
HHA07620GMedicaidCA

Other names 1

  • Sutter Care at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000043 CA Part A Provider - Home Health Agency 1052228673 Practice locations: Lakeport, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871734244. Details of each certification follow.

Home health agency certification: CCN 057620

Legal name
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Doing business as
SUTTER CARE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 13, 1984
Last certification
Jan 25, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 13, 1908 in CA
Enrollment address
5196 Hill Rd E
Ste 204
Lakeport, CA 95453-6362

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sutter Care at HomeCCN 057620 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Jan 13, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
V N a and Hospice of39 organizations share this tax ID, including this one
Part of
V N a and Hospice of

Other organizations with this tax ID 38

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

View all 38

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Keith R Lagnese Individual Contracted Managing EmployeeChief Medical Officer Aug 28, 2023
Corporate OfficerChief Medical Officer Aug 5, 2024
Corporate DirectorChief Medical Officer Aug 5, 2024
Operational/Managerial ControlChief Medical Officer Aug 28, 2023
Edward S Kersh Individual Contracted Managing EmployeeMD; Sep 4, 2018
Operational/Managerial ControlMedical Director for Home Health Sep 4, 2018
David J Seidenwurm Individual Corporate Director Jan 1, 2019
Mark K McPherson Individual Contracted Managing EmployeePresident (Ceo) Aug 14, 2023
Corporate OfficerPresident (Ceo) Aug 14, 2023
Corporate DirectorPresident (Ceo) Aug 14, 2023
Operational/Managerial ControlPresident (Ceo) Aug 14, 2023
Lynn Dawson Individual Corporate Director Mar 3, 2025
Kelly M Sandoval Individual W-2 Managing EmployeeHome Health Regional Director of Op Oct 16, 2022
Operational/Managerial ControlHome Health Regional Director of Op Oct 16, 2022
Heather L Johnson Individual W-2 Managing EmployeeAlt Administrator/Clinical Manager Jan 1, 2020
Operational/Managerial ControlAlt Administrator/Clinical Manager Jan 1, 2020
James Gray Individual Corporate Director Feb 7, 2024
Amy C Yang Individual Corporate Director Feb 7, 2024
George T Block Individual Corporate Officer Jan 1, 2024
Corporate Director Jul 16, 2018
Jenniffer R Estevo Individual W-2 Managing EmployeeAd; Oct 19, 2014
Operational/Managerial ControlHome Health Administrator Oct 19, 2014
Ursula Nicole Boynton Individual Corporate Director Jan 1, 2022
Alden J McDonald Individual Corporate Director Jul 1, 2017
Manuel J Jimenez Individual Corporate Director Jan 1, 2020
Douglas G Wagemann Individual Corporate Director Jan 1, 2023
Joanne Handy Individual Corporate Director Mar 3, 2025
Sutter Health Organization, Sacramento, CA Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Oct 2, 2000 100%
Patrick a Brown Individual Contracted Managing EmployeeCfo Apr 1, 2024
Corporate OfficerCfo Apr 1, 2024
Operational/Managerial ControlCfo Apr 1, 2024
Megan L Merz Individual Corporate Officer Jul 13, 2023
Ria Paul Individual Corporate Director Feb 7, 2024

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Affiliated clinicians 29

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1871734244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 BUSINESS CENTER DR",
            "address_2": "STE 140",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341797",
            "telephone_number": "855-771-0328",
            "fax_number": "707-863-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5196 HILL RD E STE 204",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536362",
            "telephone_number": "707-263-7400",
            "fax_number": "855-656-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER VISITING NURSE ASSOCIATION AND HOSPICE",
        "enumeration_date": "2009-03-16",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-864-4660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07620G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Care at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.