NPIMap

Organization Active NPI

Marshall Medical Center

Doing business as Marshall Home Care

  • Home Health Agency
  • Diamond Springs, CA
National Provider Identifier
1992705040
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
030000059 Issued in CA
Legal business name
MARSHALL MEDICAL CENTER
Doing business as
Marshall Home Care
Practice address
6425 Capitol Ave
Diamond Springs, CA 95619-9457
Phone
(530) 626-2900
Fax
(530) 626-2910
NPI assigned
Jul 29, 2005
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Martin Entwistle
Title
Interim Ceo
Phone
(530) 626-2868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 030000059 CA Primary

Addresses

Primary practice location

6425 Capitol Ave
Diamond Springs, CA 95619-9457

Mailing address

6425 Capitol Ave Ste 120
Diamond Springs, CA 95619-9457
Phone (530) 626-2900

Other names 1

  • Marshall Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021126000028 CA Part A Provider - Home Health Agency 7517875859 Practice locations: Diamond Springs, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992705040. Details of each certification follow.

Home health agency certification: CCN 057019

Legal name
MARSHALL MEDICAL CENTER
Doing business as
MARSHALL HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Jan 30, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1957 in CA
Enrollment address
6425 Capitol Ave
Ste 120
Diamond Springs, CA 95619-9457

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Marshall Home CareCCN 057019 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0872563Marshall Home Care6425 Capitol Ave, Diamond Springs, CA 95619Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marshall Medical Center for18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

4341B Golden Center Dr
Placerville, CA 95667
Phone (530) 621-3600

681 Main St
Placerville, CA 95667

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Sean Anderson Individual Corporate Director Jan 1, 2023 6.66%
Brian Keith Veerkamp Individual Corporate DirectorBoard of Directors Mar 30, 2020 6.66%
Jon Christian Haugaard Individual Corporate DirectorBoard of Director Mar 30, 2018 6%
Edward Manansala Individual Corporate DirectorBoard of Director Mar 25, 2021 6%
John Rodman Knight Individual Corporate DirectorBoard of Directors Mar 30, 2020 6.66%
Siri Nelson Individual Corporate OfficerCeo Jan 1, 2020 20%
Corporate DirectorBoard of Director Jan 1, 2020 6.66%
W-2 Managing EmployeeCeo Jan 1, 2020 20%
Kim Stoll Individual Corporate DirectorBoard of Directors Mar 31, 2023 6.66%
Anna-Nicole M Blair Individual Corporate Director Mar 31, 2023 6.66%
George Nielsen Individual Corporate DirectorBoard of Directors Mar 30, 2018 6.66%
Jonathan Russell Individual Corporate OfficerChief Ambulatory Officer Dec 27, 2020 25%
W-2 Managing EmployeeCao Feb 5, 2007
Christeen Reeg Individual Corporate DirectorBoard of Directors Mar 30, 2017 6.66%
Office of Statewide Health Planning and Development Organization, Sacramento, CA 5% Or Greater Mortgage Interest Oct 1, 1986 29.55%
5% Or Greater Security Interest Oct 1, 1986 29.55%
Gerardo S Galang Individual Corporate DirectorBoard of Directors Jul 1, 2022 6.66%
Thomas Cumpston Individual Corporate DirectorBoard of Director Mar 30, 2019 6%
US Bank National Association Organization, Monterey Park, CA Financial institution 5% Or Greater Mortgage Interest May 30, 2023 29.55%
5% Or Greater Security Interest May 30, 2023 29.55%
Laurie Eldridge Individual Corporate OfficerChief Financial Officer Nov 26, 2002 20%
W-2 Managing EmployeeChief Financial Officer Nov 26, 2002 20%
Alexis F Long Individual Corporate DirectorBoard of Director Mar 25, 2021 6.66%
Andrea Howard Individual Corporate DirectorBoard of Directors Mar 30, 2019 6.66%
Cynthia Anne Rice Individual Corporate OfficerChief Nursing Officer Dec 10, 2021 25%
W-2 Managing EmployeeCno Aug 14, 2021

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Divide Wellness CenterGeorgetown, CA, CCN 058514 Rural health clinic Operational/Managerial Control Jun 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

Affiliated clinicians 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1992705040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 CAPITOL AVE STE 120",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199457",
            "telephone_number": "530-626-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 CAPITOL AVE",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199457",
            "telephone_number": "530-626-2900",
            "fax_number": "530-626-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "ENTWISTLE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "530-626-2868"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "030000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

Verify at the official NPI Registry.