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ST. MARY'S HOME HEALTH SERVICES LLC
NPI 1972942043
Home Health in Fremont, CA

Active since June 21, 2013CLIA 05D2085237 · Waiver
33241 FALCON DR, FREMONT, CA 94555(510) 573-5523 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About St. Mary's Home Health Services Llc NPPES

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

ST. MARY'S HOME HEALTH SERVICES LLC (NPI 1972942043) is a healthcare organization registered as a home health in Fremont, California and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Sajimon P Kora, President, as its authorized official.

NPPES Registry Identity

NPI1972942043
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST. MARY'S HOME HEALTH SERVICES LLC
Location Address33241 FALCON DRFremont, CA 94555-1128
Mailing Address33241 Falcon DrFremont, CA 94555-1128
Phone(510) 573-5523
Organization SubpartNo
Authorized OfficialSajimon P KoraPresident · (510) 573-5523
Enumeration DateJune 21, 2013
✔ NPI 1972942043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
33241 FALCON DR, Fremont, CA 94555
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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 05D2085237

St. Mary's Home Health Services LLC · Brentwood, CA
Active · expires Oct 8, 2026
CLIA Number05D2085237
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorJacob Eapen
Laboratory Phone(510) 573-5523
Laboratory LocationSt. Mary's Home Health Services LLC50 Sand Creek Blvd Ste 336, Brentwood, CA 94513
CLIA data matches this NPI record on: Name Phone
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. Mary's Home Health Services LLC's NPI number?

The NPI number for St. Mary's Home Health Services LLC is 1972942043. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is St. Mary's Home Health Services LLC located?

St. Mary's Home Health Services LLC is located at 33241 Falcon Dr, Fremont, CA 94555. The listed phone number is (510) 573-5523.

What is St. Mary's Home Health Services LLC's specialty?

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

Does St. Mary's Home Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2085237) is associated with this NPI, valid through October 8, 2026. 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. Mary's Home Health Services LLC was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.