NPIMap

Organization Active NPI

Silver Tree Home Health Inc

  • Home Health Agency
  • San Marcos, CA
National Provider Identifier
1013593409
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SILVER TREE HOME HEALTH INC
Practice address
810 Los Vallecitos Blvd Ste 205
San Marcos, CA 92069-1449
Phone
(760) 539-7032
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Mohammad Arabshahi
Title
Owner
Phone
(760) 809-3791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

810 Los Vallecitos Blvd Ste 205
San Marcos, CA 92069-1449

Mailing address

810 Los Vallecitos Blvd Ste 205
San Marcos, CA 92069-1449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216000230 CA Part A Provider - Home Health Agency 8123419793 Practice locations: San Marcos, CA

Home health agency certification: CCN 559731

Legal name
SILVER TREE HOME HEALTH INC
Doing business as
SILVER TREE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 26, 2022
Last certification
Feb 26, 2022
Organization structure
CorporationProprietary
Incorporated
Feb 4, 2021 in CA
Enrollment address
810 Los Vallecitos Blvd
Ste 205
San Marcos, CA 92069-1449

Care Compare: Home health agency

Medicare Care Compare
Listed as
Silver Tree Home Health IncCCN 559731
Overall star rating
4 of 5
Ownership
-
Certified
Feb 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

810 Los Vallecitos Blvd
Ste 205
San Marcos, CA 92069
Phone (760) 539-7032

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
Sasan Hadavand Individual 5% Or Greater Direct Ownership InterestOwner Feb 4, 2021 50%
Corporate OfficerVP/Sec/Admin Designee/50% Owner Feb 4, 2021 50%
Corporate DirectorVP/Sec/Admin Designee/50% Owner Feb 4, 2021 50%
W-2 Managing EmployeeVP/Sec/Admin Designee/50% Owner Feb 4, 2021 50%
Mohammad Arabshahi Individual 5% Or Greater Direct Ownership InterestOwner Feb 4, 2021 50%
Corporate OfficerCep/Pres/Cfo/Admin/DPCS/50% Owne Feb 4, 2021 50%
Corporate DirectorCep/Pres/Cfo/Admin/DPCS/50% Owne Feb 4, 2021 50%
W-2 Managing EmployeeCep/Pres/Cfo/Admin/DPCS/50% Owne Feb 4, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1013593409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LOS VALLECITOS BLVD STE 205",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LOS VALLECITOS BLVD STE 205",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691449",
            "telephone_number": "760-539-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER TREE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "ARABSHAHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-809-3791"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.