Healthcare Provider Details

I. General information

NPI: 1083643944
Provider Name (Legal Business Name): SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5099 COMMERCIAL CIR STE 205
CONCORD CA
94520-1292
US

IV. Provider business mailing address

4830 BUSINESS CENTER DR STE 140
FAIRFIELD CA
94534-1797
US

V. Phone/Fax

Practice location:
  • Phone: 925-677-4240
  • Fax: 877-732-0310
Mailing address:
  • Phone: 855-771-0328
  • Fax: 707-863-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK K MCPHERSON
Title or Position: CEO
Credential:
Phone: 707-864-4660