Organization Active NPI

Absolute Care Health Systems, Inc

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1083978100
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 26, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Apr 30, 2012 in CA
Enrollment address
7940 Silverton Ave
Ste 202
San Diego, CA 92126-6341
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Shield Home HealthCCN 059586
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 20, 2014
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

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.

NameRoleSinceShare
Rogelio Luciano Pineda Individual 5% Or Greater Direct Ownership InterestAdministrator/Ceo Apr 30, 2012 50%
W-2 Managing Employee Apr 30, 2012
Maluisa Magno Pineda Individual 5% Or Greater Direct Ownership InterestCfo Apr 30, 2012 50%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "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

Verify at the official NPI Registry.