Organization Active NPI

Arise Home Care Corp

  • Home Health Agency
  • Claremont, CA
National Provider Identifier
1003913765
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001463 Issued in CA
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

Updated by the provider on Jul 2, 2013

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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CorpCCN 059417
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 15, 2012
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

Locations

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.

NameRoleSinceShare
Kenneth E.H. Richards Individual 5% Or Greater Direct Ownership InterestOwner Jan 22, 2015 100%
Corporate OfficerPresident/Administrator/Board Me Jan 22, 2015 100%
Corporate DirectorPresident/Administrator/Board Me Jan 22, 2015 100%
W-2 Managing EmployeePresident/Administrator/Board Me Jan 1, 2017 100%
Marie a. Roque Individual Corporate DirectorDopcs/Board Member Jan 1, 2017
Operational/Managerial ControlDopcs/Board Member 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.