ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
NPI 1083697833
Home Health in Anaheim, CA

Active since November 25, 2005CLIA 05D0721769 · Waiver
200 W. CENTER STREET PROMENADE, SUITTE 200, ANAHEIM, CA 92805(714) 712-9500(714) 712-9520 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Aug 7, 2024, Jun 10, 2021 and 2 more (5 updates tracked since 2021).

About St. Joseph Health System Home Care Services Llc NPPES

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

ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC (NPI 1083697833) is a healthcare organization registered as a home health in Anaheim, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Donald W Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083697833
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Location Address200 W. CENTER STREET PROMENADE, SUITTE 200Anaheim, CA 92805
Mailing AddressPo Box 31001-3044 Commercial Pay LockboxPasadena, CA 91110-3044
Fax(714) 712-9520
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary For Enrollment · (425) 358-9786
Enumeration DateNovember 25, 2005
Last NPPES UpdateMay 16, 20255 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1083697833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
200 W. CENTER STREET PROMENADE, Anaheim, CA 92805

Other Names 1

Other NameProvidence Hospice Orange Coutny

Accepted Insurance

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 05D0721769

St Joseph Health System Home Care Services, LLC Dba Providence Hospice Orange County · Anaheim, CA
Active · expires Aug 31, 2026
CLIA Number05D0721769
Laboratory TypeHospice
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael Malouf, MD
Laboratory Phone(714) 712-9559
Laboratory LocationSt Joseph Health System Home Care Services, LLC Dba Providence Hospice Orange County200 W Center St Promenade Ste 200B, Anaheim, CA 92805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 System Home Care Services LLC's NPI number?

The NPI number for St. Joseph Health System Home Care Services LLC is 1083697833. It was assigned to this organization in the NPPES registry on November 25, 2005. The provider is also known as Providence Hospice Orange Coutny.

Where is St. Joseph Health System Home Care Services LLC located?

St. Joseph Health System Home Care Services LLC is located at 200 W. Center Street Promenade Suitte 200, Anaheim, CA 92805. The listed phone number is (714) 712-9500.

What is St. Joseph Health System Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does St. Joseph Health System Home Care Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0721769) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Joseph Health System Home Care Services LLC accept?

Health plans from Medica list St. Joseph Health System Home Care Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Joseph Health System Home Care Services LLC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.