Organization Active NPI

Nurses Resource Home Health Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1083809636
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000305 Issued in CA
Legal business name
NURSES RESOURCE HOME HEALTH INC.
Practice address
610 N Central Ave
Suite 207
Glendale, CA 91203-1403
Phone
(818) 240-6744
Fax
(818) 240-6740
NPI assigned
Sep 6, 2007
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Mr. Joselito Dizon Acosta
Title
President
Phone
(818) 240-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000305 CA Primary

Addresses

Primary practice location

610 N Central Ave
Suite 207
Glendale, CA 91203-1403

Mailing address

610 N Central Ave
Suite 207
Glendale, CA 91203-1403
Phone (818) 240-6744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031219000787 CA Part A Provider - Home Health Agency 4486552064 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083809636. Details of each certification follow.

Home health agency certification: CCN 058450

Legal name
NURSES RESOURCE HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 31, 2008
Last certification
Jul 12, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 21, 2003 in CA
Enrollment address
535 N Brand Blvd
Ste 200
Glendale, CA 91203-3303
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nurse Resource Home Health, IncCCN 058450 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 31, 2008
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

535 N Brand Blvd
Ste 200
Glendale, CA 91203
Phone (818) 240-6744

Ownership & related parties

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.

NameRoleSinceShare
Johnny J Postrero Individual Corporate DirectorDirector Aug 1, 2017 100%
W-2 Managing Employee Aug 1, 2017
Renante M Perez Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2013 50%
Corporate OfficerCfo Jan 1, 2013 50%
W-2 Managing EmployeeCfo Jan 1, 2013 50%
Edna Sheila M Paguio Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2013 50%
Corporate OfficerCeo/Administrator/Board Member Jan 1, 2013 50%
W-2 Managing EmployeeCeo/Administrator/Board Member Jan 1, 2013 50%
Operational/Managerial ControlCeo/Administrator/Board Member Jan 1, 2013 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1083809636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE",
            "address_2": "SUITE 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031403",
            "telephone_number": "818-240-6744",
            "fax_number": "818-240-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE",
            "address_2": "SUITE 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031403",
            "telephone_number": "818-240-6744",
            "fax_number": "818-240-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSES RESOURCE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "JOSELITO",
        "authorized_official_middle_name": "DIZON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-240-6744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.