Active NPI
Caretech Home Health, Inc.
- Home Health Agency
- Cypress, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000619
- Legal business name
- CARETECH HOME HEALTH, INC.
- Practice address
- 5252 Orange Ave
Suite 205
Cypress, CA 90630-2967 - Phone
- (714) 484-7828
- Fax
- (714) 484-7637
- NPI assigned
- Mar 13, 2008
- Last updated
- Feb 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eun Mi Lee, R.N.
- Title
- Administrator
- Phone
- (714) 484-7828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000619 | CA | Primary |
Addresses
Primary practice location
5252 Orange Ave
Suite 205
Cypress, CA 90630-2967
Mailing address
5252 Orange Ave Ste 205
Cypress, CA 90630-2967
Phone (714) 484-7828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050429000426 | CA | Part A Provider - Home Health Agency | 0648219527 | Practice locations: Cypress, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033380555. Details of each certification follow.
Home health agency certification: CCN 058424
- Legal name
- CARETECH HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 5, 2008
- Last certification
- Jun 4, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 23, 2004 in CA
- Enrollment address
- 5252 Orange Ave
Ste 205
Cypress, CA 90630-2967
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Caretech Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 5, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1070829 | Caretech Home Health Inc | Certificate of waiver | Jul 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
6905 Oslo Cir
Ste A1
Buena Park, CA 90621
Phone (714) 670-1800
5252 Orange Ave
Ste 101
Cypress, CA 90630
Phone (833) 668-2522
5252 Orange Ave
Ste 205
Cypress, CA 90630
Phone (714) 484-7828
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eun M Lee | 5% Or Greater Direct Ownership Interest | Nov 23, 2004 | 100% |
| Corporate Officer | Nov 23, 2004 | 100% | |
| W-2 Managing Employee | Nov 23, 2004 | 100% | |
| James Y Lee | Corporate Officer | May 10, 2005 | |
| W-2 Managing Employee | May 10, 2005 |
Practitioners & affiliated clinicians
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": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1033380555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 ORANGE AVE STE 205",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302967",
"telephone_number": "714-484-7828",
"fax_number": "714-484-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 ORANGE AVE",
"address_2": "SUITE 205",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302967",
"telephone_number": "714-484-7828",
"fax_number": "714-484-7637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARETECH HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "EUN",
"authorized_official_middle_name": "MI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-484-7828",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.