PROHEALTH HOME CARE INC (NPI# 1700301124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700301124 |
| Entity Type | Organization |
| Organization Name | PROHEALTH HOME CARE INC |
| Practice Address |
1450 Neotomas Ave Ste 130a Santa Rosa CA 95405-7575 |
| Mailing Address |
2700 Zanker Rd Ste 180 San Jose CA 95134-2140 |
| Practice Telephone | 8776678770 |
| Mailing Telephone | 4084519055 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | MOHAMED MARLEEN (PRESIDENT) |
| Authorized Official Telephone | 8776678770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1740403021 | Prohealth Home Care Inc | Home Health | 441 Tomlinson Rd, Unit D-6, Philadelphia, PA 19116-3221 | 2007-04-11 |
| 1497720767 | Prohealth Home Care Inc | Home Health | 2000 Pewaukee Rd C, Waukesha, WI 53188 | 2006-02-21 |
| 1689943243 | Prohealth Home Care Inc | Hospice Care, Community Based | 1990 N California Blvd, Suite 755, Walnut Creek, CA 94596-3742 | 2011-12-27 |
| Street Address |
1450 NEOTOMAS AVE STE 130A |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1356978720 | Sonoma In-home Aides, LLC | Home Health | 4226 Mount Taylor Dr, Santa Rosa, CA 95404-6220 | 2020-03-25 |
| 1194361592 | Guardian Angel Home Care of Santa Rosa | Home Health | 320 College Ave Ste 230, Santa Rosa, CA 95401-5144 | 2019-11-20 |
| 1386104669 | The Lakes Home Health Services, Inc. | Home Health | 2435 Professional Dr Ste A, Santa Rosa, CA 95403-3017 | 2019-03-22 |
| 1639642747 | Lonestar Home Health Care Services, LLC | Home Health | 422 Arroyo Ave, Santa Rosa, TX 78593-9700 | 2019-01-10 |
| 1417463365 | Wine Country Home Care | Home Health | 4927 Sonoma Hwy Ste D1, Santa Rosa, CA 95409-4265 | 2017-12-14 |
| 1023530359 | The Good Samaritan Hospice of St. Joseph | Home Health | 2308 Cotton Ct, Santa Rosa, CA 95401-7800 | 2017-07-07 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| 1063879021 | Bana Solomon | Home Health | 3742 Hillary Ct, Santa Rosa, CA 95403-1589 | 2016-01-21 |
| 1104204106 | Guardian Angel Home Care, Inc. | Home Health | 320 College Ave, Suite 230, Santa Rosa, CA 95401-5145 | 2015-05-11 |
| 1629464482 | The Annadel Group | Home Health | 4804 Westminster Pl, Santa Rosa, CA 95405-7922 | 2015-04-08 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on PROHEALTH HOME CARE INC.
| 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.