Organization Active NPI

Kaelin'S Home Health,Inc.

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1093393472
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAELIN'S HOME HEALTH,INC.
Practice address
7301 Topanga Canyon Blvd Ste 375
Canoga Park, CA 91303-3395
Phone
(818) 970-0441
Fax
(818) 860-4005
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mrs. Grace Suico Toczauer
Title
Ceo
Phone
(818) 970-0441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7301 Topanga Canyon Blvd Ste 375
Canoga Park, CA 91303-3395

Mailing address

7301 Topanga Canyon Blvd Ste 375
Canoga Park, CA 91303-3395
Phone (818) 860-4004

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.GMAIL.COM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519003094 CA Part A Provider - Home Health Agency 2860891058 Practice locations: Canoga Park, CA

Home health agency certification: CCN 753135

Legal name
KAELIN'S HOME HEALTH,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 17, 2022
Last certification
May 4, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 22, 2021 in CA
Enrollment address
7301 Topanga Canyon Blvd
Ste 375
Canoga Park, CA 91303-3395

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kaelin'S Home Health, IncCCN 753135
Ownership
-
Certified
May 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2327475Kaelin'S Home Health, Inc7301 Topanga Canyon Blvd, Suite 375, Canoga Park, CA 91303Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

Locations

7301 Topanga Canyon Blvd
Ste 375
Canoga Park, CA 91303
Phone (818) 860-4004

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
Maria Elisa Suico Punay Individual W-2 Managing Employee Mar 26, 2021
Grace Suico Toczauer Individual 5% Or Greater Direct Ownership InterestCeo Mar 22, 2021 100%
Corporate OfficerCfo Mar 22, 2021 100%
Corporate DirectorBoard Member Mar 22, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1093393472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 375",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "818-860-4004",
            "fax_number": "818-860-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 375",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "818-970-0441",
            "fax_number": "818-860-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAELIN'S HOME HEALTH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TOCZAUER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "SUICO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-970-0441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "7301 Topanga Canyon Blvd Ste 375",
            "city": "Canoga Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913033395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.