Ethical Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000670 Issued in CA

Legal business name

ETHICAL HOME HEALTH CARE INC

Practice address

550 N Euclid Ave
Upland, CA 91786-4734

Phone

(909) 946-9000

Fax

(909) 981-0400

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Flores

Title

Ceo Cfo

Phone

(909) 946-9000

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058026

Legal name

ETHICAL HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 1, 1997

Last certification

Jan 17, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 13, 1996 in CA

Enrollment address

550N Euclid Ave
Upland, CA 91786-4734

Listed as

Ethical Home Health CareCCN 058026 · All quality measures

Ownership

Proprietary

Certified

Aug 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Samuel Efrain Sanchez, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Arizona City, AZ
  • NPI 1780693861

  Contracted Managing Employee

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1093798977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864734",
            "telephone_number": "909-946-9000",
            "fax_number": "909-981-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864734",
            "telephone_number": "909-946-9000",
            "fax_number": "909-981-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHICAL HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO CFO",
        "authorized_official_telephone_number": "909-946-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "05-8026",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA LICENSE",
            "identifier": "240000670",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08026G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD ID",
            "identifier": "406364346",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACLAIMS #",
            "identifier": "240001549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.

Verify at the official NPI Registry.