Organization Active NPI

Valiant Home Health Care Inc

  • Home Health Agency
  • Temple City, CA
National Provider Identifier
1043896111
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VALIANT HOME HEALTH CARE INC
Practice address
11112 Daines Dr
Temple City, CA 91780-3601
Phone
(626) 278-5534
NPI assigned
Mar 19, 2021
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Dorothy Ramos
Title
Ceo/President
Phone
(626) 278-5534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11112 Daines Dr
Temple City, CA 91780-3601

Mailing address

11112 Daines Dr
Temple City, CA 91780-3601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210902002938 CA Part A Provider - Home Health Agency 8123424983 Practice locations: Arcadia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043896111. Details of each certification follow.

Home health agency certification: CCN 757520

Legal name
VALIANT HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 7, 2023
Last certification
Jun 23, 2023
Organization structure
CorporationProprietary
Incorporated
Mar 19, 2021 in CA
Enrollment address
4115 E Live Oak Ave
Ste 5
Arcadia, CA 91006-5830

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valiant Home Health Care IncCCN 757520 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Jul 7, 2023
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
05D2286469Valiant Home Health Care Inc4115 E Live Oak Ave Ste 5, Arcadia, CA 91006Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

4115 E Live Oak Ave
Ste 5
Arcadia, CA 91006
Phone (626) 348-2207

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
Dorothy Rogero Ramos Individual 5% Or Greater Direct Ownership InterestPresident Mar 16, 2021 50%
Corporate OfficerPresident Mar 16, 2021 50%
Corporate DirectorPresident Mar 16, 2021 50%
W-2 Managing EmployeeOffice Manager Mar 16, 2021 50%
Operational/Managerial ControlOffice Manager Mar 16, 2021 50%
Marshinabel Lopez Individual W-2 Managing EmployeeAdministrator/Director of Nursing Aug 5, 2021 100%
Operational/Managerial ControlAdministrator/Director of Nursing Aug 5, 2021 100%
Celia Palma Individual 5% Or Greater Direct Ownership InterestChief Fiancial Officer Mar 16, 2021 50%
Corporate OfficerChie Financial Officer Mar 16, 2021 50%
Corporate DirectorChief Financial Officer Mar 16, 2021 50%
W-2 Managing EmployeeOffice Manager Mar 16, 2021 50%
Operational/Managerial ControlOffice Manager Mar 16, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1043896111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 DAINES DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 DAINES DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803601",
            "telephone_number": "626-278-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIANT HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "626-278-5534"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.