Organization Active NPI

Comcare Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1003872862
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000798 Issued in CA
Legal business name
COMCARE HOME HEALTH, INC.
Practice address
100 W Broadway Ste 800
Glendale, CA 91210-1238
Phone
(818) 952-5164
Fax
(818) 952-5621
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Mrs. Lilia Sayas Pagsisihan
Title
Administrator
Phone
(818) 952-5164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000798 CA Primary

Addresses

Primary practice location

100 W Broadway Ste 800
Glendale, CA 91210-1238

Mailing address

100 W Broadway Ste 800
Glendale, CA 91210-1238
Phone (818) 952-5164

Other identifiers 1

IdentifierTypeStateIssuer
HHA57406FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071221000484 CA Part A Provider - Home Health Agency 0547350928 Practice locations: Glendale, CA

Home health agency certification: CCN 557406

Legal name
COMCARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 27, 1994
Last certification
May 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 1, 1994 in CA
Enrollment address
100W Broadway 800
Glendale, CA 91210-1238

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comcare Home Health, IncCCN 557406
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 27, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0903504Comcare Home Health Inc100 W Broadway Ste 800, Glendale, CA 91210Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Locations

100 W Broadway
Ste 800
Glendale, CA 91210
Phone (818) 952-5164

4529 Angeles Crest Hwy
Ste 307
La Canada, CA 91011

4529 Angeles Crest Hwy
#307
La Canada, CA 91011
Phone (818) 952-5164

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Lilia Sayas Pagsisihan Individual 5% Or Greater Direct Ownership Interest Mar 1, 1994 50%
Corporate OfficerPresident Feb 10, 2012
Corporate DirectorSecretary of the Board Feb 10, 2012
W-2 Managing EmployeeAdministrator Dec 13, 2007
Apolonio Camia Pagsisihan Individual 5% Or Greater Direct Ownership Interest Dec 13, 2007 50%
Corporate OfficerCfo Feb 10, 2012
Corporate DirectorChairman of the Board Feb 10, 2012
W-2 Managing EmployeeCfo Dec 13, 2007

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1003872862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W BROADWAY STE 800",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101238",
            "telephone_number": "818-952-5164",
            "fax_number": "818-952-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W BROADWAY STE 800",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101238",
            "telephone_number": "818-952-5164",
            "fax_number": "818-952-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMCARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-06-10",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "PAGSISIHAN",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "SAYAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-952-5164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57406F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.