Organization Active NPI

Epic Home Health Care, Inc.

  • Home Health Agency
  • Glendora, CA
National Provider Identifier
1033782826
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EPIC HOME HEALTH CARE, INC.
Practice address
1135 E Route 66 Ste 201
Glendora, CA 91740-3778
Phone
(626) 737-0237
Fax
(626) 737-0230
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Van Erick Basco
Title
Ceo
Phone
(626) 614-6840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1135 E Route 66 Ste 201
Glendora, CA 91740-3778

Mailing address

1135 E Route 66 Ste 201
Glendora, CA 91740-3778
Phone (626) 737-0237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230801002134 CA Part A Provider - Home Health Agency 9436510872 Practice locations: Glendora, CA

Home health agency certification: CCN 757603

Legal name
EPIC HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2024
Last certification
Feb 27, 2024
Organization structure
CorporationProprietary
Enrollment address
1135 E Route 66
Ste 201
Glendora, CA 91740-3778

Care Compare: Home health agency

Medicare Care Compare
Listed as
Epic Home Health Care, Inc.CCN 757603
Overall star rating
4 of 5
Ownership
-
Certified
Feb 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1135 E Route 66
Glendora, CA 91740
Phone (626) 914-5661

1135 E Route 66
Ste 201
Glendora, CA 91740
Phone (626) 737-0237

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Irene Krishna B Magsino Individual W-2 Managing EmployeeAd;DPCS Oct 31, 2024
Kamo Muradyan Individual 5% Or Greater Direct Ownership InterestOwner Oct 31, 2024 51%
Vanerick Twano Basco Individual 5% Or Greater Direct Ownership InterestOwner Oct 31, 2024 49%
Corporate OfficerCeo/Cfo/Secretary/Director Oct 31, 2024 100%
Corporate DirectorCeo/Cfo/Secretary/Director Oct 31, 2024 49%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1033782826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66 STE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403778",
            "telephone_number": "626-737-0237",
            "fax_number": "626-737-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66 STE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403778",
            "telephone_number": "626-737-0237",
            "fax_number": "626-737-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "BASCO",
        "authorized_official_first_name": "VAN ERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-614-6840"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.