Active NPI
Kaelin'S Home Health,Inc.
- Home Health Agency
- Canoga Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.GMAIL.COM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- -
- Certified
- May 17, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2327475 | Kaelin'S Home Health, Inc | Certificate of waiver | Jul 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Elisa Suico Punay | W-2 Managing Employee | Mar 26, 2021 | |
| Grace Suico Toczauer | 5% Or Greater Direct Ownership Interest | Mar 22, 2021 | 100% |
| Corporate Officer | Mar 22, 2021 | 100% | |
| Corporate Director | Mar 22, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1326048638
Home health agency
-
- Internal Medicine Physician
- Canoga Park, CA
- NPI 1124019138
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.