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Organization
ST. JOSEPH HOME CARE NETWORK
Active
Organization
ST. JOSEPH HOME CARE NETWORK
Active
Other names
PROVIDENCE HOME HEALTH NAPA VALLEY, St. Joseph Health - Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
980 TRANCAS STREET, SUITE 9, NAPA, CA 94558
(707) 257-4724
(707) 224-7087
Mailing address
1165 MONTGOMERY DRIVE, MS 1S13, SANTA ROSA, CA 95405
(707) 206-9124
(707) 206-9421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010000127
CA
251F00000X
Home Infusion Agency
010000127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA07659G
MEDI-CAL
—
05
—
HHA07659G
—
CA
Enumeration date
10/04/2006
Last updated
05/16/2025
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