Organization Active NPI

Caretech Home Health, Inc.

  • Home Health Agency
  • Cypress, CA
National Provider Identifier
1033380555
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000619 Issued in CA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 058424 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 5, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1070829Caretech Home Health Inc5252 Orange Ave Ste 205, Cypress, CA 90630Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Eun M Lee Individual 5% Or Greater Direct Ownership InterestOwner Nov 23, 2004 100%
Corporate OfficerCeo/Board Member/Administrator Nov 23, 2004 100%
W-2 Managing EmployeeCeo/Board Member/Administrator Nov 23, 2004 100%
James Y Lee Individual Corporate OfficerCfo May 10, 2005
W-2 Managing EmployeeCfo 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

Verify at the official NPI Registry.