NPIMap

Organization Active NPI

RX Staffing and Home Care, Inc

Doing business as Rx Staffing and Home Care

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1003026220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RX STAFFING AND HOME CARE, INC
Doing business as
Rx Staffing and Home Care
Practice address
4640 Marconi Ave
Suite 1
Sacramento, CA 95821-4355
Phone
(916) 485-8200
Fax
(916) 485-4400
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Erman, RN, BSN
Title
Administrator
Phone
(916) 485-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

4640 Marconi Ave
Suite 1
Sacramento, CA 95821-4355

Mailing address

4640 Marconi Ave
Suite 1
Sacramento, CA 95821-4355
Phone (916) 485-8200

Other identifiers 1

IdentifierTypeStateIssuer
HHA57690GMedicaidCA

Other names 1

  • Rx Staffing and Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001071 CA Part A Provider - Home Health Agency 1052308525 Practice locations: Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003026220. Details of each certification follow.

Home health agency certification: CCN 557690

Legal name
RX STAFFING AND HOME CARE INC
Doing business as
RX STAFFING & HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 1996
Last certification
Jan 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 8, 2000 in CA
Enrollment address
4640 Marconi Ave
Ste 1
Sacramento, CA 95821-4355

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
RX Staffing and Home CareCCN 557690 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 30, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
RX Staffing and Home Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4640 Marconi Ave
Ste 1
Sacramento, CA 95821
Phone (916) 485-8200

4640 Marconi Ave
Ste 8
Sacramento, CA 95821

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Sharpe Individual Corporate OfficerChief Operating Office Mar 29, 2017
Operational/Managerial Control Mar 29, 2017
Mildred a Tielman Individual W-2 Managing EmployeeBilling Manager Apr 11, 2017 5%
Lenore M Erman Individual 5% Or Greater Direct Ownership InterestOwner Mar 8, 2000 60%
Corporate OfficerPresident Jul 1, 2014 60%
Corporate DirectorBoard Member Mar 8, 2003 20%
W-2 Managing EmployeePresident Nov 28, 1995 20%
Michelle L Formby Individual W-2 Managing EmployeeController Apr 11, 2017 5%
Kenneth H Erman Individual 5% Or Greater Direct Ownership InterestOwner Jan 20, 2006 40%
Corporate OfficerSecretary and Treasurer Jul 1, 2014 40%
Corporate DirectorBoard Member Mar 8, 2003 40%
W-2 Managing EmployeeCeo, Admnistrator Jul 1, 2014 80%

Practitioners & affiliated clinicians

Affiliated clinicians 62

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 62

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003026220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 MARCONI AVE",
            "address_2": "SUITE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214355",
            "telephone_number": "916-485-8200",
            "fax_number": "916-485-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MARCONI AVE",
            "address_2": "SUITE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214355",
            "telephone_number": "916-485-8200",
            "fax_number": "916-485-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX STAFFING AND HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-485-8200",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57690G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Staffing and Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.