Organization
IN HOME HEALTH LLC
Active
Other names
ProMedica Hospice (San Rafael), ProMedica Hospice (Santa Rosa)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
3700 OLD REDWOOD HWY STE 103, SANTA ROSA, CA 95403-5740
(707) 523-0111
(707) 523-1034
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
100000738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC-01696F
—
CA
Enumeration date
05/16/2006
Last updated
04/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us