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Organization
ST. JOSEPH HOME CARE NETWORK
Active
Organization
ST. JOSEPH HOME CARE NETWORK
Active
Other names
PROVIDENCE HOME HEALTH SONOMA
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
441 COLLEGE AVE, SANTA ROSA, CA 95401-5141
(707) 206-9124
(707) 206-9420
Mailing address
PO BOX 31001-1986, PASADENA, CA 91110-1986
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010000281
CA
251F00000X
Home Infusion Agency
010000281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA57433H
MEDI-CAL
CA
05
—
HHA57433H
—
CA
Enumeration date
10/04/2006
Last updated
05/16/2025
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