Organization Active NPI

Transitions Home Health, Inc.

  • Home Health Agency
  • Carson, CA
National Provider Identifier
1073810180
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000948 Issued in CA
Legal business name
TRANSITIONS HOME HEALTH, INC.
Practice address
23601 Avalon Blvd Ste 207
Carson, CA 90745-5581
Phone
(310) 513-0687
Fax
(310) 513-0689
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Carolina FunkNPI 1255697496
Title
President
Phone
(310) 513-0687

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 550000948 CA Primary

Addresses

Primary practice location

23601 Avalon Blvd Ste 207
Carson, CA 90745-5581

Mailing address

23601 Avalon Blvd Ste 207
Carson, CA 90745-5581
Phone (310) 513-0687

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000377 CA Part A Provider - Home Health Agency 7810164183 Practice locations: Carson, CA

Home health agency certification: CCN 059558

Legal name
TRANSITIONS HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2013
Last certification
Oct 25, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 13, 2012 in CA
Enrollment address
23601 Avalon Blvd
Ste 207
Carson, CA 90745-5581
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Transitions Home Health, Inc.CCN 059558 · All quality measures
Ownership
Proprietary
Certified
Dec 19, 2013
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
05D2029548Transitions Home Health, Inc23601 S. Avalon Blvd., Suite 207, Carson, CA 90745Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

23601 Avalon Blvd
Ste 207
Carson, CA 90745
Phone (310) 513-0687

448 E Foothill Blvd
Ste 103A
San Dimas, CA 91773

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
Paul E Funk Individual 5% Or Greater Direct Ownership Interest Apr 10, 2012 50%
Corporate OfficerVice President/Secretary Apr 10, 2012 50%
OtherVice President/Secretary Apr 10, 2012 50%
Carolina Funk Individual 5% Or Greater Direct Ownership Interest Apr 10, 2012 50%
Corporate OfficerDon/Administrator Apr 10, 2012 50%
Corporate DirectorCeo/President/Administrator Apr 10, 2012 50%
W-2 Managing EmployeeDon/Administrator Apr 10, 2012 50%
Operational/Managerial ControlDon/Administrator Apr 10, 2012 50%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1073810180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23601 AVALON BLVD STE 207",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455581",
            "telephone_number": "310-513-0687",
            "fax_number": "310-513-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23601 AVALON BLVD STE 207",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455581",
            "telephone_number": "310-513-0687",
            "fax_number": "310-513-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-513-0687"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.