Healthcare Provider Details

I. General information

NPI: 1104850015
Provider Name (Legal Business Name): SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 STONY POINT RD STE 200C
SANTA ROSA CA
95401-4118
US

IV. Provider business mailing address

5099 COMMERCIAL CIR STE 208
CONCORD CA
94520-1374
US

V. Phone/Fax

Practice location:
  • Phone: 707-535-5700
  • Fax: 707-542-6731
Mailing address:
  • Phone: 707-864-4840
  • 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: MR. MARK K MCPHERSON
Title or Position: CEO
Credential:
Phone: 707-864-4660