Organization Active NPI

Wheelchair Transportation & Homecare Services LLC

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1972079887
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WHEELCHAIR TRANSPORTATION & HOMECARE SERVICES LLC
Practice address
624 Powderhorn Ave
Santa Rosa, CA 95407-2743
Phone
(707) 236-5039
NPI assigned
Oct 18, 2018
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Dimmy Badette
Title
President/Ceo
Phone
(707) 236-5039

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

624 Powderhorn Ave
Santa Rosa, CA 95407-2743

Mailing address

1116 Baywood Dr Apt 159
Petaluma, CA 94954-4398
Phone (707) 236-5039

Other practice location 1

1116 Baywood Dr Apt 159
Petaluma, CA 94954-4398
Phone (707) 236-5039

Other practice location 2

1116 Baywood Dr Apt 159
Petaluma, CA 94954-4398
Phone (707) 236-5039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1972079887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 BAYWOOD DR APT 159",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544398",
            "telephone_number": "707-236-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 POWDERHORN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954072743",
            "telephone_number": "707-236-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Baywood Dr Apt 159",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949544398",
            "country_code": "US",
            "telephone_number": "707-236-5039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 Baywood Dr Apt 159",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949544398",
            "country_code": "US",
            "telephone_number": "707-236-5039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHEELCHAIR TRANSPORTATION & HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BADETTE",
        "authorized_official_first_name": "DIMMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "707-236-5039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.