Organization Active NPI

Privilege Home Health Care, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1053522664
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000826 Issued in CA
Legal business name
PRIVILEGE HOME HEALTH CARE, INC.
Practice address
502 S Verdugo Dr
#2
Burbank, CA 91502-2344
Phone
(818) 846-0040
Fax
(818) 846-0060
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Nellie Francisco
Title
Ceo
Phone
(818) 846-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000826 CA Primary

Addresses

Primary practice location

502 S Verdugo Dr
#2
Burbank, CA 91502-2344

Mailing address

502 S Verdugo Dr
#2
Burbank, CA 91502-2344
Phone (818) 846-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000732 CA Part A Provider - Home Health Agency 3577662881 Practice locations: Burbank, CA

Home health agency certification: CCN 059086

Legal name
PRIVILEGE HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 17, 2009
Last certification
May 25, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 7, 2007 in CA
Enrollment address
500 E Olive Ave
Ste 850
Burbank, CA 91501-2132
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Privilege Home Health Care IncCCN 059086 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 17, 2009
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
05D2013898Privilege Home Health Care Inc500 East Olive Ave Ste 850, Burbank, CA 91501Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

500 E Olive Ave
Ste 850
Burbank, CA 91501
Phone (818) 841-9486

502 S Verdugo Dr
#2
Burbank, CA 91502
Phone (818) 846-0040

217 E Alameda Ave
Ste 215
Burbank, CA 91502
Phone (818) 846-0040

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
Ruth G Rodriguez Individual Corporate DirectorDirector of Patient Care Service Jun 4, 2021
W-2 Managing EmployeeDirector of Patient Care Service Jun 4, 2021
Operational/Managerial ControlDirector of Patient Care Service Jun 4, 2021
Catalina M Domingo Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 10%
Nellie Francisco Individual 5% Or Greater Direct Ownership Interest Jun 1, 2018 90%
Corporate OfficerCeo/President, Administrator Jun 1, 2018 90%
Corporate DirectorCeo/President, Administrator Jun 1, 2018 90%
W-2 Managing EmployeeCeo/President, Administrator Jun 1, 2018 90%
Operational/Managerial ControlCeo/President, Administrator Jun 1, 2018 100%

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1053522664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S VERDUGO DR",
            "address_2": "#2",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022344",
            "telephone_number": "818-846-0040",
            "fax_number": "818-846-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S VERDUGO DR",
            "address_2": "#2",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022344",
            "telephone_number": "818-846-0040",
            "fax_number": "818-846-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVILEGE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-846-0040"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.