Organization · Type 2 NPI

St. Joseph Home Care Network

Community Based Hospice Care Agency · Petaluma, CA

NPI number 1174065809 Active

Practice location

416 Payran St
Petaluma, CA 94952-5907

Call (707) 778-6242 Map

Fax (707) 778-0144

Mailing address

PO Box 31001-1986
Pasadena, CA 91110-1986

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

3 other providers at this address

CP Sonoma N-Ca Hospice, LLCCommunity Based Hospice Care Agency Petaluma, CA NPI 1790507911
Carol LiHospice and Palliative Medicine (Internal Medicine) Physician Petaluma, CA NPI 1942617717
Scott W. Eberle, MDFamily Medicine Physician Petaluma, CA NPI 1184681165

Other community based hospice care agency providers in Petaluma

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NPI record

NPI: 1174065809
Entity type: Organization (Type 2)
Issued: Nov 11, 2016
Last updated: May 16, 2025
Status: Active

Other names

<unavail>
Providence Hospice Sonoma County · doing business as
Providence Hospice Sonoma County · doing business as

Authorized official

Donald W Anderson
Assistant Secretary for Enrollment
(425) 358-9786

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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.

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About NPI 1174065809

St. Joseph Home Care Network's National Provider Identifier is 1174065809, issued on Nov 11, 2016. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Petaluma, CA. The record was last updated on May 16, 2025.