# ST. JOSEPH HOME CARE NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROVIDENCE PALLIATIVE CARE SONOMA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821617978
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASST SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 439 COLLEGE AVE, SANTA ROSA, CA 95401-5119
- **Practice address phone:** (707) 522-4307
- **Practice address fax:** (707) 547-3056
- **Mailing address:** 447 COLLEGE AVE, SANTA ROSA, CA 95401-5141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2020
- **Last updated:** 05/16/2025
