Organization Active NPI

Vantage Home Health Care Services, Inc

  • Home Health Agency
  • Gardena, CA
National Provider Identifier
1063628501
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NOT YET Issued in CA
Legal business name
VANTAGE HOME HEALTH CARE SERVICES, INC
Practice address
19210 S Vermont Ave Ste 205
Gardena, CA 90248-4428
Phone
(310) 720-6097
Fax
(310) 538-4271
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Mrs. Olajumoke M Ojute, RN
Title
Administrator
Phone
(310) 713-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NOT YET CA Primary

Addresses

Primary practice location

19210 S Vermont Ave Ste 205
Gardena, CA 90248-4428

Mailing address

19210 S Vermont Ave Ste 205
Gardena, CA 90248-4428
Phone (310) 713-7207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000731 CA Part A Provider - Home Health Agency 2769581073 Practice locations: Gardena, CA

Home health agency certification: CCN 059094

Legal name
VANTAGE HOME HEALTH CARE SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 23, 2009
Last certification
Aug 16, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 26, 2007 in CA
Enrollment address
19210 S Vermont Ave #B
Suite 205
Gardena, CA 90248-4426

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vantage Home Health Care Services, IncCCN 059094
Ownership
Proprietary
Certified
Sep 23, 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
05D1071056Vantage Home Health Care Services Inc19210 S Vermont Avenue, BLDG B, Suite 205, Gardena, CA 90248Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

20620 Leapwood Ave
Carson, CA 90746
Phone (310) 538-9046

19210 S Vermont Ave
Ste 205
Gardena, CA 90248
Phone (310) 538-9046

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
Olajumoke M Ojute Individual 5% Or Greater Direct Ownership InterestDirector of Nursing Jun 20, 2007 50%
Corporate OfficerSec/Admin/Dopcs Apr 26, 2007 50%
W-2 Managing Employee Jun 20, 2007
Kehinde O Ojute Individual 5% Or Greater Direct Ownership Interest Apr 26, 2007 50%
Corporate OfficerCeo/President Apr 26, 2007 50%
Corporate DirectorDirector of Nursing Apr 26, 2007 50%
W-2 Managing EmployeeCeo/President Apr 26, 2007 50%

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1063628501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19210 S VERMONT AVE STE 205",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484428",
            "telephone_number": "310-713-7207",
            "fax_number": "310-538-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19210 S VERMONT AVE STE 205",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484428",
            "telephone_number": "310-720-6097",
            "fax_number": "310-538-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE HOME HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "OJUTE",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-713-7207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "NOT YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.