Active NPI
Arise Home Care Corp
- Home Health Agency
- Claremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001463
- Legal business name
- ARISE HOME CARE CORP
- Practice address
- 1420 N Claremont Blvd
Unite 203B
Claremont, CA 91711-3528 - Phone
- (909) 625-2502
- Fax
- (909) 625-2582
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janet Ann Marcelin
- Title
- Administrator
- Phone
- (909) 625-2502
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 980001463 | CA | |
| Home Health Agency | 251E00000X | 980001463 | CA | Primary |
Addresses
Primary practice location
1420 N Claremont Blvd
Unite 203B
Claremont, CA 91711-3528
Mailing address
1420 N Claremont Blvd
Unite 203B
Claremont, CA 91711-3528
Phone (909) 625-2502
Other names 1
- A M Home Health Services, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120709000491 | CA | Part A Provider - Home Health Agency | 3476691825 | Practice locations: Claremont, CA |
Home health agency certification: CCN 059417
- Legal name
- ARISE HOME CARE CORP
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 15, 2012
- Last certification
- Jun 10, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 16, 2009 in CA
- Enrollment address
- 1420 N Claremont Blvd
Ste 203B
Claremont, CA 91711-3528
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Arise Home Care Corp
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 15, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1420 N Claremont Blvd
Ste 110A
Claremont, CA 91711
Phone (909) 625-2502
1420 N Claremont Blvd
Ste 203B
Claremont, CA 91711
Phone (909) 625-2502
5830 Overhill Dr
Ste 3
Los Angeles, CA 90043
Phone (323) 294-7300
12215 Ventura Blvd
Ste 207
Studio City, CA 91604
Phone (818) 980-0015
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kenneth E.H. Richards | 5% Or Greater Direct Ownership Interest | Jan 22, 2015 | 100% |
| Corporate Officer | Jan 22, 2015 | 100% | |
| Corporate Director | Jan 22, 2015 | 100% | |
| W-2 Managing Employee | Jan 1, 2017 | 100% | |
| Marie a. Roque | Corporate Director | Jan 1, 2017 | |
| Operational/Managerial Control | Jan 1, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Specialist
- Ventura, CA
- NPI 1083610018
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Ventura, CA
- NPI 1083610018
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Torrance, CA
- NPI 1235251117
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372723200000",
"number": "1003913765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 N CLAREMONT BLVD",
"address_2": "UNITE 203B",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113528",
"telephone_number": "909-625-2502",
"fax_number": "909-625-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 N CLAREMONT BLVD",
"address_2": "UNITE 203B",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113528",
"telephone_number": "909-625-2502",
"fax_number": "909-625-2582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARISE HOME CARE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2013-07-02",
"status": "A",
"authorized_official_last_name": "MARCELIN",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-625-2502",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "980001463",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A M Home Health Services, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.