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PROVIDENCE HOME CARE
NPI 1033654736
In Home Supportive Care in Anaheim, CA

Active since January 04, 2017CLIA 05D1023470 · Waiver
200 W CENTER STREET PROMENADE, SUITE 200, ANAHEIM, CA 92805(714) 712-7100 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Jan 4, 2017 (2 updates tracked since 2017).

About Providence Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOME CARE (NPI 1033654736) is a healthcare organization registered as an in home supportive care in Anaheim, California and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Denise Leger, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1033654736
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameST. JOSEPH HEALTH PERSONAL CARE SERVICES
Location Address200 W CENTER STREET PROMENADE, SUITE 200Anaheim, CA 92805-3960
Mailing Address200 W Center Street Promenade Ste 200aAnaheim, CA 92805-3960 · (714) 712-7100
Phone(714) 712-7100
Organization SubpartNo
Authorized OfficialDenise LegerOperations Manager · (714) 712-7094
Enumeration DateJanuary 4, 2017
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1033654736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in CA · 304700105
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
200 W CENTER STREET PROMENADE, Anaheim, CA 92805
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Other Names 1

Doing Business AsProvidence Home Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1023470

Providence Home Health Orange County · Anaheim, CA
Active · expires Mar 16, 2028
CLIA Number05D1023470
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorKiho Woo
Laboratory Phone(714) 712-9500
Laboratory LocationProvidence Home Health Orange County200 W Center St Promenade, Ste 200, Anaheim, CA 92805
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY SANTOS
Health Educator
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (323) 774-3907
ST. JOSEPH HEALTH PERSONAL CARE SERVICES, LLC
Home Health
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (714) 449-4942
KATHERINE BAO LAM
Pharmacist (Ambulatory Care)
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (714) 618-9582
ST. JUDE HOSPITAL YORBA LINDA
Non-Pharmacy Dispensing Site
200 W CENTER STREET PROMENADE, SUITE 100B
ANAHEIM, CA 92805
Orange County (714) 347-7910
MIRAL A. KUMBHANI PHARMD
Pharmacist
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (555) 555-5555
BRYAN ORTIZ
Community Health Worker
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (657) 640-8090
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES
Home Health
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (714) 449-4942
SANDRA DAWN KAZIM N.P.
Nurse Practitioner
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805
Orange County (714) 712-9559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Joseph Health Personal Care Services's NPI number?

The NPI number for St. Joseph Health Personal Care Services is 1033654736. It was assigned to this organization in the NPPES registry on January 4, 2017. The provider is doing business as Providence Home Care.

Where is St. Joseph Health Personal Care Services located?

St. Joseph Health Personal Care Services is located at 200 W Center Street Promenade Suite 200, Anaheim, CA 92805. The listed phone number is (714) 712-7100.

What is St. Joseph Health Personal Care Services's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does St. Joseph Health Personal Care Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1023470) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Joseph Health Personal Care Services was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.