NPIMap

Organization Active NPI

Envigorati, LLC

  • Home Health Agency
  • Campbell, CA
National Provider Identifier
1093315871
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ENVIGORATI, LLC
Practice address
155 E Campbell Ave Ste 224
Campbell, CA 95008-2068
Phone
(408) 870-8506
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Leeann C Emmons, RN
Title
Co-Owner
Phone
(408) 870-8506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

155 E Campbell Ave Ste 224
Campbell, CA 95008-2068

Mailing address

155 E Campbell Ave Ste 224
Campbell, CA 95008-2068
Phone (408) 870-8506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727003783 CA Part A Provider - Home Health Agency 9032512140 Practice locations: Campbell, CA

Home health agency certification: CCN 753106

Legal name
ENVIGORATI, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 2022
Last certification
May 17, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 17, 2020 in CA
Enrollment address
155 E Campbell Ave
Ste 224
Campbell, CA 95008-2068
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Envigorati, LLCCCN 753106
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
May 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

155 E Campbell Ave
Ste 224
Campbell, CA 95008
Phone (408) 780-8506

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
Leeann Emmons Individual 5% Or Greater Direct Ownership Interest Jul 17, 2020 40%
Corporate Director Jul 17, 2020 100%
Operational/Managerial Control Jul 17, 2020 100%
RT Mobitech, LLC Organization, San Jose, CA LLC 5% Or Greater Direct Ownership Interest Jul 17, 2020 60%

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1093315871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E CAMPBELL AVE STE 224",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082068",
            "telephone_number": "408-870-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E CAMPBELL AVE STE 224",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082068",
            "telephone_number": "408-870-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIGORATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "408-870-8506",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.