Affinity Home Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000703 Issued in CA

Legal business name

AFFINITY HOME HEALTH CARE SERVICES, INC.

Practice address

5033 Arlington Ave Ste a
Riverside, CA 92504-2727

Phone

(951) 785-1287

Fax

(951) 785-1289

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Desi James Poncedeleon

Title

President

Phone

(714) 920-1576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059026

Legal name

AFFINITY HOME HEALTH CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 19, 2008

Last certification

May 24, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 6, 2004 in CA

Enrollment address

6960 Magnolia Ave
Ste 201
Riverside, CA 92506-2816

Listed as

Affinity Home Health Care Services, IncCCN 059026

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Nov 19, 2008

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 2

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

Affiliated clinicians 7

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

• Anitha Bhat, MD

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1639480585

  Home health agency

  Care Compare affiliation
• Lester Samuel Holstein III, MD

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1720088792

  Home health agency

  Care Compare affiliation
• Luther Mangoba, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1528041894

  Home health agency

  Care Compare affiliation
• Monique Cerissa Mariscal, PA-C

  • Medical Physician Assistant
  • Corona, CA
  • NPI 1982043139

  Home health agency

  Care Compare affiliation
• Laura Carolina Nieves, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1073808994

  Home health agency

  Care Compare affiliation
• Rahul Dev Polineni, M.D

  • Hematology & Oncology Physician
  • Corona, CA
  • NPI 1235375155

  Home health agency

  Care Compare affiliation
• Cynthia Lynn Thomas, D.O.

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1083767636

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1083883763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042727",
            "telephone_number": "951-785-1287",
            "fax_number": "951-785-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042727",
            "telephone_number": "951-785-1287",
            "fax_number": "951-785-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "PONCEDELEON",
        "authorized_official_first_name": "DESI",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-920-1576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Riverside, CA
• Providers in Riverside, 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 May 26, 2009; 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.