Organization Active NPI

Stable Home Health Inc

  • Home Health Agency
  • Santa Ana, CA
National Provider Identifier
1053832766
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Hong-Ngoc Thi Hoang, PHDNPI 1629380431
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559779 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Apr 16, 2022
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
05D2241369Stable Home Health, Inc.901 W Civic Center Dr Ste 200, Santa Ana, CA 92703Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hong-Ngoc T Hoang Individual 5% Or Greater Direct Ownership Interest May 22, 2017 100%
Corporate OfficerOwner, Board Member, President, May 22, 2017
W-2 Managing EmployeeOwner, Board Member, President, 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.

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": "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": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.