ESKATON (NPI# 1023673258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023673258 |
| Entity Type | Organization |
| Organization Name | ESKATON |
| Practice Address |
1640 Eskaton Loop Roseville CA 95747-5185 |
| Practice Telephone | 9164593220 |
| Practice Fax Number | 9163312986 |
| Mailing Telephone | 9164593220 |
| Mailing Fax Number | 9163312986 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MR. THOMAS ROBERT BOLLUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9164593220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HCSB | 314700008 | 01 |
| Other Name | Type Code |
|---|---|
| Live Well at Home by Eskaton | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ESKATON CLEARLAKE OAKS MANOR | 75 Lake St, Clearlake Oaks, CA 95423-8567 |
| System for Award Management (SAM) Entities | ESKATON HAZEL SHIRLEY MANOR | 11025 San Pablo Ave, El Cerrito, CA 94530-2368 |
| System for Award Management (SAM) Entities | ESKATON JEFFERSON MANOR | 5959 66th Ave, Sacramento, CA 95823-2622 |
| System for Award Management (SAM) Entities | ESKATON LASSEN MANOR | 205 N Mesa St Ofc, Susanville, CA 96130-4251 |
| System for Award Management (SAM) Entities | ESKATON MANTECA MANOR | 544 Eastwood Ave, Manteca, CA 95336-3174 |
| System for Award Management (SAM) Entities | ESKATON NATOMAS MANOR | 2400 Northview Dr Apt 113, Sacramento, CA 95833-2411 |
| Colorado Business Entities | Eskaton Seismic, Inc. | 5204 Woodtrent Drive, Garner, NC 27529 |
| System for Award Management (SAM) Entities | ESKATON WASHINGTON MANOR | 1020 Kingston Rd, Mount Shasta, CA 96067-2264 |
| Street Address |
1640 ESKATON LOOP |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053899906 | Christina Rae Grzadzinski | Home Health Aide | 25584 Collingwood St, Roseville, MI 48066-3956 | 2018-08-02 |
| 1003319864 | Karson Neejzoo Xiong | Home Health Aide | 2571 Rice St, Roseville, MN 55113-3716 | 2018-03-17 |
| 1891225751 | James E Zenk | Home Health Aide | 2336 Lexington Ave N Ste L, Roseville, MN 55113-4343 | 2017-06-14 |
| 1841670833 | Quinterria Martin | Home Health Aide | 25901 Chippendale Ct Apt D, Roseville, MI 48066-3978 | 2015-06-04 |
| 1609281716 | Tatyana Tanya Romanishin | Home Health Aide | 1420 E Roseville Pkwy Ste 140-130, Roseville, CA 95661-3078 | 2014-06-26 |
| 1467884585 | Tamicka Hollien | Home Health Aide | 26295 Grandmont St, Roseville, MI 48066-3235 | 2013-07-31 |
| 1467709964 | Gloria Dawn Carlson | Home Health Aide | 300 Cirby Hills Dr, Apartment 221, Roseville, CA 95678-4362 | 2012-08-14 |
| 1609170265 | Paula J Pettit | Home Health Aide | 1513 Eriswell Dr, Roseville, CA 95747-4522 | 2010-12-22 |
| 1437371077 | Dawn M Blake | Home Health Aide | 100 1/2 Old Rainer Road, Roseville, OH 43777 | 2007-05-03 |
| 1821557356 | Mahamed Anbaar | Home Health Aide | 2355 Highway 36 W Ste 400, Roseville, MN 55113-3905 | 2019-03-14 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.