Inland Home Health Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CA240001913 Issued in CA

Legal business name

INLAND HOME HEALTH PROVIDERS, INC.

Practice address

9221 Archibald Ave
Rancho Cucamonga, CA 91730-5207

Phone

(909) 948-8731

Fax

(909) 948-8736

NPI assigned

Feb 6, 2007

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rene Louis Ybardolaza

Title

Chief Financial Officer

Phone

(909) 948-8731

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093854176. Details of each certification follow.

• CCN 058239 Home health agency · Active · Details

Home health agency certification: CCN 058239

Legal name

INLAND HOME HEALTH PROVIDERS INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 30, 2004

Last certification

Mar 10, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 19, 2003 in CA

Enrollment address

9221 Archibald Ave
Rancho Cucamonga, CA 91730-5207

Listed as

Inland Home Health Providers IncCCN 058239 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jan 30, 2004

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

Locations

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert Leland Baker, MD

  • Family Medicine Physician
  • Covina, CA
  • NPI 1033107750

  Home health agency

  Care Compare affiliation
• Marc Ghabbour, M.D.

  • Internal Medicine Physician
  • Glendora, CA
  • NPI 1154702157

  Home health agency

  Care Compare affiliation
• Ibrahim Issa Hanna, M.D.

  • Internal Medicine Physician
  • Glendora, CA
  • NPI 1407898653

  Home health agency

  Care Compare affiliation
• Sabah Kadhium, MD

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1306836770

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1093854176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-948-8731",
            "fax_number": "909-948-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 ARCHIBALD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305207",
            "telephone_number": "909-948-8731",
            "fax_number": "909-948-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND HOME HEALTH PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "YBARDOLAZA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-948-8731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "CA240001913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08239F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inland Empire Oral and Maxillofacial Surgeons
• Inland Empire Senior Services (Senior Helpers)
• Inland Empire Senior Services Inc (Senior Helpers)
• Inland Empire Sleep Medicine
• Inland Empire Surgical Group, LLC
• Inland Interventional Medical Associates, Inc.
• Inland Physicians Service Inc (Inland Region Medical Group)
• Inland Psychiatric Medical Group, Inc
• Inland Respiratory Diagnostics
• Inn Home Care LLC

• Home Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Dec 12, 2012; 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.