Healthcare Provider Details

I. General information

NPI: 1033144464
Provider Name (Legal Business Name): SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 LAVA RIDGE CT STE 330B
ROSEVILLE CA
95661-3094
US

IV. Provider business mailing address

5099 COMMERCIAL CIR STE 208
CONCORD CA
94520-1374
US

V. Phone/Fax

Practice location:
  • Phone: 916-797-7850
  • Fax: 855-755-6414
Mailing address:
  • Phone: 855-771-0328
  • Fax: 707-863-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK K MCPHERSON
Title or Position: PRESIDENT (CEO)
Credential:
Phone: 855-771-0328