Organization Active NPI

Level Home Health Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1053500652
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEVEL HOME HEALTH INC.
Practice address
260 S Los Robles Ave Ste 101
Pasadena, CA 91101-2869
Phone
(949) 206-0691
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Kelly Deckelman
Title
Administrator
Phone
(949) 206-0691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

260 S Los Robles Ave Ste 101
Pasadena, CA 91101-2869

Mailing address

260 S Los Robles Ave Ste 101
Pasadena, CA 91101-2869
Phone (949) 206-0691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080407000727 CA Part A Provider - Home Health Agency 4284711805 Practice locations: Pasadena, CA

Home health agency certification: CCN 059208

Legal name
LEVEL HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 20, 2010
Last certification
May 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 30, 2007 in CA
Enrollment address
260 S Los Robles Ave
Ste 101
Pasadena, CA 91101-2869

Care Compare: Home health agency

Medicare Care Compare
Listed as
Level Home Health, IncCCN 059208
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 20, 2010
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
05D1080978Level Home Health Inc260 S Los Robles Ave Ste 101, Pasadena, CA 91101Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

22961 Triton Way
Ste B
Laguna Hills, CA 92653
Phone (949) 206-0691

260 S Los Robles Ave
Ste 101
Pasadena, CA 91101
Phone (949) 206-0691

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
Kelly E. Deckelman Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2016 50%
Corporate OfficerCeo/Cfo May 1, 2016 50%
Corporate DirectorCeo/Cfo May 1, 2016 50%
Operational/Managerial ControlCeo/Cfo May 1, 2016 50%
Adam Rao Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2016 50%
Corporate OfficerSecretary May 1, 2016 50%
Corporate DirectorSecretary May 1, 2016 50%
Operational/Managerial ControlSecretary May 1, 2016 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1053500652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S LOS ROBLES AVE STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012869",
            "telephone_number": "949-206-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S LOS ROBLES AVE STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012869",
            "telephone_number": "949-206-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "DECKELMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-206-0691"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.