Organization Active NPI

Metro Care Home Health Services, Inc.

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1073712097
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000203 Issued in CA
Legal business name
METRO CARE HOME HEALTH SERVICES, INC.
Practice address
4959 Palo Verde St Ste 104a
Montclair, CA 91763
Phone
(909) 447-1000
Fax
(909) 624-5953
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Ms. Maria Chona Rafols Catuira, BSN, RN
Title
DPCS
Phone
(909) 447-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000203 CA Primary

Addresses

Primary practice location

4959 Palo Verde St Ste 104a
Montclair, CA 91763

Mailing address

4959 Palo Verde St Ste 104a
Montclair, CA 91763-2345
Phone (909) 447-1000

Other identifiers 1

IdentifierTypeStateIssuer
HHA08347FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041230000757 CA Part A Provider - Home Health Agency 9133187586 Practice locations: Montclair, CA

Home health agency certification: CCN 058347

Legal name
METRO CARE HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 2006
Last certification
Nov 7, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 25, 2004 in CA
Enrollment address
4959 Palo Verde St
Ste 104a
Montclair, CA 91763-2345

Care Compare: Home health agency

Medicare Care Compare
Listed as
Metro Care Home Health Services IncCCN 058347
Ownership
Proprietary
Certified
Nov 9, 2006
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
05D1036763Metro Care Home Health Services Inc4959 Palo Verde St Ste 104a, Montclair, CA 91763Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

9631 Business Center Dr
Ste A
Rancho Cucamonga, CA 91730
Phone (909) 987-5777

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
Maria Chona R Catuira Individual 5% Or Greater Direct Ownership InterestPresident Aug 25, 2004 100%
Corporate OfficerPresident Aug 25, 2004 100%
W-2 Managing EmployeePresident Sep 27, 2008 100%
Irma San Juan Individual W-2 Managing EmployeeDirector of Patient Care Service Apr 26, 2010
Operational/Managerial ControlDirector of Patient Care Service Apr 26, 2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1073712097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 104A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632345",
            "telephone_number": "909-447-1000",
            "fax_number": "909-624-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 104A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "91763",
            "telephone_number": "909-447-1000",
            "fax_number": "909-624-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "CATUIRA",
        "authorized_official_first_name": "MARIA CHONA",
        "authorized_official_middle_name": "RAFOLS",
        "authorized_official_title_or_position": "DPCS",
        "authorized_official_telephone_number": "909-447-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08347F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.