Active NPI
Absolute Care Health Systems, Inc
- Home Health Agency
- San Diego, CA
National Provider Identifier
1083978100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ABSOLUTE CARE HEALTH SYSTEMS, INC
- Practice address
- 7940 Silverton Ave Ste 202
San Diego, CA 92126-6341 - Phone
- (636) 675-0915
- NPI assigned
- Jul 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rogelio Luciano Pineda Jr., PT, RPT
- Title
- President and Administrator
- Phone
- (636) 675-0915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7940 Silverton Ave Ste 202
San Diego, CA 92126-6341
Mailing address
7940 Silverton Ave Ste 202
San Diego, CA 92126-6341
Phone (636) 675-0915
Other names 1
- Shield Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130627000175 | CA | Part A Provider - Home Health Agency | 5496994261 | Practice locations: San Diego, CA |
Home health agency certification: CCN 059586
- Legal name
- ABSOLUTE CARE HEALTH SYSTEMS, INC
- Doing business as
- SHIELD HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 20, 2014
- Last certification
- Mar 13, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 30, 2012 in CA
- Enrollment address
- 7940 Silverton Ave
Ste 202
San Diego, CA 92126-6341
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Shield Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 20, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
7940 Silverton Ave
Ste 202
San Diego, CA 92126
Phone (636) 675-0915
7940 Silverton Ave
Ste 208
San Diego, CA 92126
Phone (858) 693-4350
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rogelio Luciano Pineda | 5% Or Greater Direct Ownership Interest | Apr 30, 2012 | 50% |
| W-2 Managing Employee | Apr 30, 2012 | ||
| Maluisa Magno Pineda | 5% Or Greater Direct Ownership Interest | Apr 30, 2012 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- National City, CA
- NPI 1073579173
Home health agency
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1104878073
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629936000000",
"number": "1083978100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7940 SILVERTON AVE STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921266341",
"telephone_number": "636-675-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7940 SILVERTON AVE STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921266341",
"telephone_number": "636-675-0915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTE CARE HEALTH SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-03",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A",
"authorized_official_last_name": "PINEDA",
"authorized_official_first_name": "ROGELIO",
"authorized_official_middle_name": "LUCIANO",
"authorized_official_title_or_position": "PRESIDENT AND ADMINISTRATOR",
"authorized_official_telephone_number": "636-675-0915",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT, RPT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shield Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.