Mission Home Health of East Bay LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MISSION HOME HEALTH OF EAST BAY LLC

Practice address

5976 W Las Positas Blvd Ste 118
Pleasanton, CA 94588-8506

Phone

(619) 757-2700

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Kerry Pawl

Title

Board of Directors Member

Phone

(619) 757-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1902491871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 NORTHSIDE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082702",
            "telephone_number": "619-757-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 W LAS POSITAS BLVD STE 118",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888506",
            "telephone_number": "619-757-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOME HEALTH OF EAST BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "PAWL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS MEMBER",
        "authorized_official_telephone_number": "619-757-2700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Minniear
• Miracle Ear
• Anita Miranda
• Josaphat L Mirimo
• Smrutirekha Misra, M.D.
• Mission Hospice Services of East Bay LLC
• Mission Peak Orthopaedic Medical Group, Inc
• Missouri Emergency Services, P.C.
• Kourtney Mitani, PTA
• Geralyn Mitchell

• Home Health Agency in Pleasanton, CA
• Providers in Pleasanton, 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 Mar 11, 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.