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NPI Code Detail

MEDICARE: ST. PATRICK HOME HEALTH PROVIDERS, INC.

MEDICARE: ST. PATRICK HOME HEALTH PROVIDERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1093089369
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. PATRICK HOME HEALTH PROVIDERS, INC.
Provider Business Mailing Address
First Line : 25 N 14TH ST STE 660
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-6214
Country : US
Telephone Number : 408-389-3500
Fax Number : 866-282-2057
Provider Business Practice Location Address
First Line : 25 N 14TH ST STE 660
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-6214
Country : US
Telephone Number : 408-389-3500
Fax Number : 866-282-2057
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MS. GERALDINE PASTORES
Credential : RN
Telephone Number : 408-389-3500
Provider Enumeration Date : 03/02/2012
Last Update Date : 06/07/2022

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Directions to “ST. PATRICK HOME HEALTH PROVIDERS, INC. ” Practice Location

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