Active NPI
Odos Home Health, Inc
- Home Health Agency
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ODOS HOME HEALTH, INC
- Practice address
- 7840 El Cajon Blvd Ste 500
La Mesa, CA 91942-0620 - Phone
- (858) 362-1637
- Fax
- (858) 433-4494
- NPI assigned
- Jan 4, 2011
- 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
- Ceferino Fajardo
- Title
- Administrator
- Phone
- (858) 362-1637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7840 El Cajon Blvd Ste 500
La Mesa, CA 91942-0620
Mailing address
7840 El Cajon Blvd Ste 500
La Mesa, CA 91942-0620
Phone (858) 362-1637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110602000741 | CA | Part A Provider - Home Health Agency | 2466639240 | Practice locations: La Mesa, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033413182. Details of each certification follow.
Home health agency certification: CCN 059374
- Legal name
- ODOS HOME HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 14, 2012
- Last certification
- Mar 2, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 9, 2010 in CA
- Enrollment address
- 7840 El Cajon Blvd
Ste 500
La Mesa, CA 91942-0620
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Odos Home Health Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 14, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
7840 El Cajon Blvd
Ste 500
La Mesa, CA 91942
Phone (858) 362-1637
9225 Dowdy Dr
Ste 218
San Diego, CA 92126
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Ceferino M Fajardo, Jr. | 5% Or Greater Direct Ownership Interest | May 12, 2011 | 100% |
| Analie Duran | W-2 Managing Employee | May 12, 2011 | |
| John a Berger | Corporate Director | Mar 1, 2013 | |
| Maria Fajardo | W-2 Managing Employee | May 12, 2012 |
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.
-
- Addiction Medicine (Family Medicine) Physician
- San Diego, CA
- NPI 1699844621
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Chula Vista, CA
- NPI 1205823929
Home health agency
-
- General Practice Physician
- San Diego, CA
- NPI 1356578769
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1033413182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 EL CAJON BLVD STE 500",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420620",
"telephone_number": "858-362-1637",
"fax_number": "858-433-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 EL CAJON BLVD STE 500",
"city": "LA MESA",
"state": "CA",
"postal_code": "919420620",
"telephone_number": "858-362-1637",
"fax_number": "858-433-4494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODOS HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-04",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "FAJARDO",
"authorized_official_first_name": "CEFERINO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "858-362-1637"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
- Obstetrics & Gynecology Surgical Associates (West Coast OB/GYN, Inc.)
- Occupational Health Centers of California, a Medical Corporation (Concentra Health Services)
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Sahar Odish
- Roumta Ashor Odisho, MD
- Linda Murlene Ojeda, MFTA
- Danielle Seryl Okovita, M.S.
- Kaylin Okuma
- Courtney Olinger, PSYD, LMFT
- Thomas Joseph Olinger, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.