Active NPI
Stable Home Health Inc
- Home Health Agency
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STABLE HOME HEALTH INC
- Practice address
- 901 W Civic Center Dr Ste 200Ab
Santa Ana, CA 92703-2352 - Phone
- (714) 248-1269
- Fax
- (714) 844-9364
- NPI assigned
- Jul 3, 2017
- Last updated
- Jul 21, 2022
- 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
- Ms. Hong-Ngoc Thi Hoang, PHD
- Title
- Owner/President
- Phone
- (714) 248-1269
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
901 W Civic Center Dr Ste 200Ab
Santa Ana, CA 92703-2352
Mailing address
901 W Civic Center Dr Ste 200Ab
Santa Ana, CA 92703-2352
Phone (714) 248-1269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201121000034 | CA | Part A Provider - Home Health Agency | 2668883786 | Practice locations: Fountain Valley, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053832766. Details of each certification follow.
Home health agency certification: CCN 559779
- Legal name
- STABLE HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 16, 2022
- Last certification
- Apr 16, 2022
- Organization structure
- Corporation
- Enrollment address
- 17155 Newhope St
Ste E
Fountain Valley, CA 92708-4232
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Stable Home Health, Inc
- Overall star rating
- Ownership
- -
- Certified
- Apr 16, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2241369 | Stable Home Health, Inc. | Certificate of waiver | Oct 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
17155 Newhope St
Ste E
Fountain Valley, CA 92708
Phone (714) 248-1269
901 W Civic Center Dr
Ste 200AB
Santa Ana, CA 92703
Phone (714) 248-1269
12362 Beach Blvd
Ste 22
Stanton, CA 90680
Phone (714) 603-7303
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Hong-Ngoc T Hoang | 5% Or Greater Direct Ownership Interest | May 22, 2017 | 100% |
| Corporate Officer | May 22, 2017 | ||
| W-2 Managing Employee | May 22, 2017 |
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.
-
- Pharmacist
- Long Beach, CA
- NPI 1629380431
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Fountain Valley, CA
- NPI 1700089935
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1053832766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W CIVIC CENTER DR STE 200AB",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927032352",
"telephone_number": "714-248-1269",
"fax_number": "714-760-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W CIVIC CENTER DR STE 200AB",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927032352",
"telephone_number": "714-248-1269",
"fax_number": "714-844-9364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STABLE HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-03",
"last_updated": "2022-07-21",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "HOANG",
"authorized_official_first_name": "HONG-NGOC",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "714-248-1269",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.