PROMEDICA HOSPICE (SAN RAFAEL)
NPI 1750333977
Hospice Care, Community Based in Santa Rosa, CA
NPI Status: Active since May 16, 2006
Contact Information
3700 OLD REDWOOD HWY STE 103
SANTA ROSA, CA
ZIP 95403
Phone: (707) 523-0111
Fax: (707) 523-1034
- Organization
- Hospice Care, Community Based
About PROMEDICA HOSPICE (SAN RAFAEL)
This page provides the complete NPI Profile along with additional information for Promedica Hospice (san Rafael), a provider established in Santa Rosa, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1750333977 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 100000738 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Promedica Hospice (san Rafael) operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Promedica Hospice (san Rafael). The authorized official of this NPI record is Mr. Martin D Allen (Director)
- NPI
- 1750333977
- Provider Legal Name
- IN HOME HEALTH LLC
- Other Organization Name
- PROMEDICA HOSPICE (SAN RAFAEL)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3700 OLD REDWOOD HWY STE 103 SANTA ROSA, CA 95403
- Location Phone
- (707) 523-0111
- Location Fax
- (707) 523-1034
- Mailing Address
- 333 N SUMMIT ST ATTN: DEAN SHIPMAN TOLEDO, OH 43604
- Mailing Phone
- (419) 254-7841
- Mailing Fax
- (707) 523-1034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2006
- Last Update Date
- 04-15-2022
- Code Navigator
Location Map
Secondary Locations
- 1050 Northgate Dr Ste 400
San Rafael, CA 94903
(415) 472-2637
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 100000738
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HPC-01696F | MEDICAID (05) | CA |
Reviews for PROMEDICA HOSPICE (SAN RAFAEL)
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750333977, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SANTA ROSA, CA 95403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750333977, enumerated as an "organization" on May 16, 2006.
The provider is located at 3700 OLD REDWOOD HWY STE 103 SANTA ROSA, CA 95403 and the phone number is (707) 523-0111.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
