Priority One Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000768 Issued in CA

Legal business name

PRIORITY ONE HOME HEALTH SERVICES INC

Practice address

4959 Palo Verde St
Suite 108-C
Montclair, CA 91763

Phone

(909) 625-6377

Fax

(909) 625-6077

NPI assigned

Sep 16, 2005

Last updated

Jun 29, 2018By 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

Ms. Maria Chona R Catuira, BSN RN

Title

DPCS Administrator

Phone

(909) 625-6377

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083609853. Details of each certification follow.

• CCN 058063 Home health agency · Active · Details

Home health agency certification: CCN 058063

Legal name

PRIORITY ONE HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 13, 2000

Last certification

Mar 5, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 8, 2000 in CA

Enrollment address

4959 Palo Verde St
Ste 108C
Montclair, CA 91763-2358

Listed as

Priority One Home Health Services IncCCN 058063 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Dec 13, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dee Beng Ko Lim, M.D.

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1801805163

  Corporate Director

  CMS ownership

Affiliated clinicians 7

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

• Steven Harry Barag, D.O.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1366444838

  Home health agency

  Care Compare affiliation
• Rick M Hirsch, D.O.

  • Family Medicine Physician
  • Upland, CA
  • NPI 1497774954

  Home health agency

  Care Compare affiliation
• Gary T. Lai, M.D.

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1245332220

  Home health agency

  Care Compare affiliation
• Jonathan Martinez, PAC

  • Medical Physician Assistant
  • Montclair, CA
  • NPI 1750491908

  Home health agency

  Care Compare affiliation
• Ali Salem, M.D.

  • Internal Medicine Physician
  • Montclair, CA
  • NPI 1376983122

  Home health agency

  Care Compare affiliation
• Ravinder Singh, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1447289962

  Home health agency

  Care Compare affiliation
• Carlos R Vigil, DO

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1366494015

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1083609853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "SUITE 108-C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-625-6377",
            "fax_number": "909-625-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "SUITE 108-C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "91763",
            "telephone_number": "909-625-6377",
            "fax_number": "909-625-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY ONE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "CATUIRA",
        "authorized_official_first_name": "MARIA CHONA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DPCS ADMINISTRATOR",
        "authorized_official_telephone_number": "909-625-6377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08063F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elizabeth Portillo
• Summer Powell
• Brett Prater
• Sarah Preston
• Prime Healthcare Services - Montclair, LLC (Montclair Hopsital Medical Center)
• Priority One Hospice, Inc.
• Pros Medical Clinic, Inc.
• Prudent Telepsychiatry Care a Medical Corporation (Prudent Telepsychiatry Care)
• Sitara Puliyanda
• Laura Pulley

• Home Health Agency in Montclair, CA
• Providers in Montclair, 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 Jun 29, 2018; 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.