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KAISER FOUNDATION HOSPITAL HOME HEALTH-VALLEJO

KAISER FOUNDATION HOSPITAL HOME HEALTH-VALLEJO is a certified and licensed healthcare facility located in 975 SERENO DR, VALLEJO, CA, 94589. The California Department of Public Health facility license number is 010000008. The facility started participation in Center for Medicare and Medicaid Services (CMS) in 1990-01-01 and its participation was approved in 2017-08-16.

The type of facility is HOME HEALTH AGENCY. It . The facility administrator is TRESCH, DEBORAH E.

Identifiction Information

License Number010000008
License StatusACTIVE
License Effective Date2023-12-01 00:00:00
License Expiration Date2024-11-30 00:00:00
National Provider Identifier (NPI)1215008461
CCN (CMS Certification Number)557062
Entity TypeNONPROFIT CORP

Healthcare Information

T18 / T19
Facility TypeHOME HEALTH AGENCY
Critical Access Hospital facilityNo
Birthing Facility
Approval Date2017-08-16 00:00:00
Parent Facility
Type of Care

Address Information

Facility Administrtor
EmailDEBORAH.E.TRESCH@KP.ORG
Street Address975 SERENO DR
CityVALLEJO
StateCalifornia
ZIP94589
Phone(707) 645-2720
Fax(707) 645-2115

California Healthcare Facilities

The California Department of Public Health (CDPH), Center for Health Care Quality, Licensing and Certification (L&C) Program licenses and certifies more than 30 types of healthcare facilities. You can search California healthcare facilities that are operational and have a current license issued by the CDPH and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification.


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