Organization Active NPI

Cardea Home Health

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1063986958
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARDEA HOME HEALTH
Practice address
16430 Ventura Blvd Ste 202B
Encino, CA 91436-2125
Phone
(818) 938-8808
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Natalie Davidson
Title
Ceo
Phone
(818) 938-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16430 Ventura Blvd Ste 202B
Encino, CA 91436-2125

Mailing address

16430 Ventura Blvd Ste 202B
Encino, CA 91436-2125
Phone (818) 938-8808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191101001995 CA Part A Provider - Home Health Agency 0941532410 Practice locations: Encino, CA

Home health agency certification: CCN 559497

Legal name
CARDEA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 21, 2021
Last certification
May 21, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 2, 2018 in CA
Enrollment address
16430 Ventura Blvd
Ste 202B
Encino, CA 91436-2125

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cardea Home HealthCCN 559497 · All quality measures
Ownership
Proprietary
Certified
May 21, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

16430 Ventura Blvd
Ste 202B
Encino, CA 91436
Phone (747) 314-5725

7211 Canby Ave
Reseda, CA 91335

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
Natalie Davidson Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Dec 10, 2024 100%
Corporate OfficerCeo/Cfo/Secretary Dec 10, 2024
Corporate DirectorCeo/Cfo/Secretary Dec 10, 2024 100%
W-2 Managing EmployeeCeo/Cfo Dec 10, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1063986958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD STE 202B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362125",
            "telephone_number": "818-938-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD STE 202B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362125",
            "telephone_number": "818-938-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDEA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-938-8808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.