Organization · Type 2 NPI

In Home Health LLC

Community Based Hospice Care Agency · Santa Rosa, CA

NPI number 1750333977 Active

Practice location

3700 Old Redwood Hwy Ste 103
Santa Rosa, CA 95403-5740

Call (707) 523-0111 Map

Fax (707) 523-1034

Mailing address

333 N Summit St, Attn: Dean Shipman
Toledo, OH 43604

Other practice locations

1050 Northgate Dr Ste 400, San Rafael, CA 94903-2575 · (415) 472-2637

Specialties and licenses

Taxonomy	Code	License
Hospice and Palliative Medicine (Internal Medicine) Physician	207RH0002X	None listed
Community Based Hospice Care Agency Primary	251G00000X	100000738 (CA)

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

Another provider at this address

In Home Health, LLCHospice and Palliative Medicine (Internal Medicine) Physician Santa Rosa, CA NPI 1043955867

Other community based hospice care agency providers in Santa Rosa

See all in Santa Rosa →

NPI record

NPI: 1750333977
Entity type: Organization (Type 2)
Issued: May 16, 2006
Last updated: Apr 15, 2022
Status: Active

Other names

<unavail>
Promedica Hospice (san Rafael) · doing business as
Promedica Hospice (santa Rosa) · doing business as

Authorized official

Mr. Martin D Allen
Director
(419) 252-5734

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.

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About NPI 1750333977

In Home Health LLC's National Provider Identifier is 1750333977, issued on May 16, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 15, 2022.