Organization Active NPI

Asap Home Health, Inc

  • Home Health Registered Nurse
  • Palmdale, CA
National Provider Identifier
1003969114
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
980001089 Issued in CA
Legal business name
ASAP HOME HEALTH, INC
Practice address
602 Commerce Ave
Palmdale, CA 93551-3882
Phone
(616) 274-0800
NPI assigned
Jan 19, 2007
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Roy Williams
Title
Administrator
Phone
(661) 274-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X 980001089 CA Primary

Addresses

Primary practice location

602 Commerce Ave
Palmdale, CA 93551-3882

Mailing address

602 Commerce Ave
Palmdale, CA 93551-3882

Other identifiers 1

IdentifierTypeStateIssuer
HHA57778GMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000891 CA Part A Provider - Home Health Agency 5294709382 Practice locations: Palmdale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003969114. Details of each certification follow.

Home health agency certification: CCN 058289

Legal name
ASAP HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 30, 2004
Last certification
Jun 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 2, 2000 in CA
Enrollment address
602 Commerce Ave C
Palmdale, CA 93551-3882

Care Compare: Home health agency

Medicare Care Compare
Listed as
Asap Home Health ServiceCCN 058289 · All quality measures
Ownership
Proprietary
Certified
Jun 30, 2004
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

765 W Lancaster Blvd
Lancaster, CA 93534
Phone (661) 940-6100

602 Commerce Ave
Palmdale, CA 93551
Phone (616) 274-0800

602 Commerce Ave
Ste C
Palmdale, CA 93551
Phone (661) 274-0800

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Roy Jonathan Williams Individual 5% Or Greater Direct Ownership Interest Mar 2, 2000 100%
Corporate DirectorAdministrator/DPCS Aug 28, 2004 100%
W-2 Managing Employee Jul 2, 2000 100%

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1003969114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 COMMERCE AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 COMMERCE AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513882",
            "telephone_number": "616-274-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-274-0800"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "980001089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57778G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.