PROMEDICA HOSPICE (SAN RAFAEL)
NPI 1750333977
Hospice Care, Community Based in Santa Rosa, CA

Active since May 16, 2006
3700 OLD REDWOOD HWY STE 103, SANTA ROSA, CA 95403(707) 523-0111(707) 523-1034 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2022, Jan 23, 2022, Feb 8, 2019 and 1 more (4 updates tracked since 2017).

About Promedica Hospice (san Rafael) NPPES

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

PROMEDICA HOSPICE (SAN RAFAEL) (NPI 1750333977) is a healthcare organization registered as a hospice care, community based in Santa Rosa, California and active in the NPI registry since May 2006. The organization maintains a secondary practice location in San Rafael and lists Martin D Allen, Director, as its authorized official.

NPPES Registry Identity

NPI1750333977
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameIN HOME HEALTH LLC
Location Address3700 OLD REDWOOD HWY STE 103Santa Rosa, CA 95403-5740
Mailing Address333 N Summit St, Attn: Dean ShipmanToledo, OH 43604 · (419) 254-7841 · Fax (419) 252-6448
Fax(707) 523-1034
Organization SubpartNo
Authorized OfficialMartin D AllenDirector · (419) 252-5734
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 15, 20224 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1750333977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in CA · 100000738
3700 OLD REDWOOD HWY STE 103, Santa Rosa, CA 95403

Other Names 2

Doing Business AsPromedica Hospice (san Rafael)
Doing Business AsPromedica Hospice (santa Rosa)

Secondary Practice Location 1

Location 11050 Northgate Dr Ste 400San Rafael, CA 94903-2575 · Phone (415) 472-2637

Other Identifiers 1

MedicaidHPC-01696FCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Internal Medicine (Hospice and Palliative Medicine)
3700 OLD REDWOOD HWY STE 103
SANTA ROSA, CA 95403

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 In Home Health LLC's NPI number?

The NPI number for In Home Health LLC is 1750333977. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Promedica Hospice (san Rafael) and ProMedica Hospice (Santa Rosa).

Where is In Home Health LLC located?

In Home Health LLC is located at 3700 Old Redwood Hwy Ste 103, Santa Rosa, CA 95403. The listed phone number is (707) 523-0111.

What is In Home Health LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for In Home Health LLC was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.