Organization Active NPI

E&E Home Health Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1023763331
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E&E HOME HEALTH INC
Practice address
2369 Colorado Blvd Ste 201
Los Angeles, CA 90041-1185
Phone
(818) 659-5155
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Eric Delacruz
Title
Ceo
Phone
(818) 659-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2369 Colorado Blvd Ste 201
Los Angeles, CA 90041-1185

Mailing address

2369 Colorado Blvd Ste 201
Los Angeles, CA 90041-1185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401001961 CA Part A Provider - Home Health Agency 6901244631 Practice locations: Los Angeles, CA

Home health agency certification: CCN 757712

Legal name
E&E HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2024
Last certification
Aug 2, 2024
Organization structure
CorporationProprietary
Enrollment address
2369 Colorado Blvd
Ste 201
Los Angeles, CA 90041-1185

Care Compare: Home health agency

Medicare Care Compare
Listed as
E&E Home Health IncCCN 757712 · All quality measures
Ownership
-
Certified
Aug 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
E&E Home Health Inc Organization, Los Angeles, CA Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 4, 2021 100%
Eric Delacruz Individual 5% Or Greater Indirect Ownership Interest Nov 4, 2021 100%
Corporate OfficerCeo/Cfo/Secretary Nov 4, 2021 100%
Corporate DirectorCeo/Cfo/Secretary Nov 4, 2021 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Nov 4, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1023763331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 COLORADO BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 COLORADO BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411185",
            "telephone_number": "818-659-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&E HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-659-5155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.