Organization · Type 2 NPI

Kaiser Foundation Hospitals

Home Health Agency · Santa Rosa, CA

NPI number 1104996933 Active

Practice location

3550 Round Barn Blvd Ste 112
Santa Rosa, CA 95403-1796

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	010000259 (CA)

Home Health Agency: 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 organ…

6 other providers at this address

Other home health agency providers in Santa Rosa

See all in Santa Rosa →

NPI record

NPI: 1104996933
Entity type: Organization (Type 2)
Issued: Nov 9, 2006
Last updated: Apr 22, 2021
Status: Active

Other names

<unavail>
Kaiser Foundation Hospital Home Health Santa Rosa · doing business as
Kaiser Foundation Hospital Home Health Santa Rosa · doing business as

Authorized official

Judith L Coffey
Senior Vice President, Area Manager
(797) 571-4222

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104996933

Kaiser Foundation Hospitals's National Provider Identifier is 1104996933, issued on Nov 9, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 22, 2021.