Organization Active NPI

Evita Health Care Inc.

  • Home Health Agency
  • Temecula, CA
National Provider Identifier
1023891652
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVITA HEALTH CARE INC.
Practice address
41593 Winchester Rd Ste 200
Temecula, CA 92590-4857
Phone
(951) 599-4287
NPI assigned
Aug 16, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Ms. Ellen TapiaNPI 1124966353
Title
Ceo
Phone
(812) 251-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

41593 Winchester Rd Ste 200
Temecula, CA 92590-4857

Mailing address

30369 Sunny Vista St
Murrieta, CA 92563-1515
Phone (812) 251-8812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023000310 CA Part A Provider - Home Health Agency 3779939137 Practice locations: Temecula, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023891652. Details of each certification follow.

Home health agency certification: CCN 757915

Legal name
EVITA HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 28, 2025
Last certification
Apr 16, 2025
Organization structure
CorporationProprietary
Incorporated
Jul 14, 2023 in CA
Enrollment address
41593 Winchester Rd
Ste 200
Temecula, CA 92590-4857

Care Compare: Home health agency

Medicare Care Compare
Listed as
Evita Health Care IncCCN 757915 · All quality measures
Ownership
-
Certified
Apr 28, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2294646Evita Health Care Inc41593 Winchester Rd Suite 200, Temecula, CA 92590Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

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
Ellen Tapia Individual 5% Or Greater Direct Ownership InterestCeo Jun 20, 2023 100%
Corporate OfficerPresident Jul 8, 2023 100%
Corporate DirectorChairman, Board of Directors Jul 8, 2023 100%
W-2 Managing EmployeeCeo Jun 20, 2023 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1023891652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30369 SUNNY VISTA ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631515",
            "telephone_number": "812-251-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904857",
            "telephone_number": "951-599-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVITA HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-251-8812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.