Avery Care Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVERY CARE HOME HEALTH INC

Practice address

3380 Flair Dr Ste 226a
El Monte, CA 91731-2853

Phone

(626) 234-2238

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Wang

Title

Director

Phone

(626) 623-3343

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053984724. Details of each certification follow.

• CCN 757442 Home health agency · Active · Details

Home health agency certification: CCN 757442

Legal name

AVERY CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 1, 2023

Last certification

Aug 9, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 13, 2021 in CA

Enrollment address

3380 Flair Dr
Ste 226
El Monte, CA 91731-2853

Listed as

Avery Care Home Health IncCCN 757442 · All quality measures

Overall star rating

1.5 of 5

Ownership

-

Certified

Sep 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Matthew C. Lee, MD

  • Medical Oncology Physician
  • Duarte, CA
  • NPI 1598296469

  Home health agency

  Care Compare affiliation
• Bosheng Qiu, M.D

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1417096363

  Home health agency

  Care Compare affiliation
• Kaifan Zhao, N.P.

  • Gerontology Nurse Practitioner
  • Duarte, CA
  • NPI 1285001628

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1053984724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 FLAIR DR STE 226A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312853",
            "telephone_number": "626-234-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 FLAIR DR STE 226A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312853",
            "telephone_number": "626-234-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-623-3343"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in El Monte, CA
• Providers in El Monte, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.

Verify at the official NPI Registry.