ST. JOSEPH HEALTH PERSONAL CARE SERVICES, LLC (NPI# 1093189102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093189102 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HEALTH PERSONAL CARE SERVICES, LLC |
| Practice Address |
200 W Center Street Promenade Anaheim CA 92805-3960 |
| Practice Telephone | 7144494942 |
| Mailing Telephone | 7144494942 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | JOHN BENNETT (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7144494942 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
200 W CENTER STREET PROMENADE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508230244 | Sandra Dawn Kazim | Nurse Practitioner | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-11-18 |
| 1699396655 | St. Joseph Health System Home Care Services | Pharmacy | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2020-04-30 |
| 1639715709 | St Joseph Heritage Healthcare | Family Medicine | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-11-22 |
| 1679133920 | Christa Marie Ellsworth | Pharmacist | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-06-19 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| 1033654736 | St. Joseph Health Personal Care Services | In Home Supportive Care | 200 W Center Street Promenade, Suite 200, Anaheim, CA 92805-3960 | 2017-01-04 |
| 1447615414 | St. Joseph Health System Home Care Services | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574674 | Scn Home Care Services, Inc | Home Health | 9778 Katella Ave, Anaheim, CA 92804-6460 | 2020-07-02 |
| 1932746120 | Home Not Alone Caregiver Services Inc | Home Health | 1781 S Campton Ave Unit 224, Anaheim, CA 92805-6753 | 2019-12-06 |
| 1770135196 | Cmbp Holdings Inc. | Home Health | 1260 N Hancock St Ste 102d, Anaheim, CA 92807-1951 | 2019-07-16 |
| 1457916819 | Al-shifa Home Health Care Agency | Home Health | 501 N Brookhurst St Ste 300a, Anaheim, CA 92801-5204 | 2019-05-01 |
| 1356807820 | Origins Home Health Care Plus Inc | Home Health | 137 1/2 S Knott Ave, Anaheim, CA 92804-1406 | 2019-02-20 |
| 1245796945 | California Nursing Solutions | Home Health | 5325 E Bergh Dr, Anaheim, CA 92807-3136 | 2019-02-18 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1043787583 | Fortitude Home Health, Inc | Home Health | 520 N Brookhurst St Ste 134, Anaheim, CA 92801-5235 | 2018-11-01 |
| 1811463896 | Blue Water Home Health Inc | Home Health | 10568 Magnolia Ave Ste 122, Anaheim, CA 92804-5864 | 2018-10-17 |
| 1588158893 | Life Hospice, Inc. | Home Health | 5101 E La Palma Ave Ste 100p, Anaheim, CA 92807-2056 | 2018-06-20 |
| Find all providers in ANAHEIM | ||||
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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.