NPIMap

Organization Active NPI

Emc Home Health Providers Inc

  • Home Health Agency
  • La Palma, CA
National Provider Identifier
1093910283
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMC HOME HEALTH PROVIDERS INC
Practice address
7851 Walker St
Suite 108
La Palma, CA 90623-1747
Phone
(714) 521-4476
Fax
(714) 521-4506
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Mrs. Maria Cecilia H Miranda
Title
President
Phone
(562) 739-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7851 Walker St
Suite 108
La Palma, CA 90623-1747

Mailing address

7851 Walker St
Suite 108
La Palma, CA 90623
Phone (714) 521-4476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000952 CA Part A Provider - Home Health Agency 8123110780 Practice locations: La Palma, CA

Home health agency certification: CCN 059200

Legal name
EMC HOME HEALTH PROVIDERS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 15, 2009
Last certification
Sep 11, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 20, 2007 in CA
Enrollment address
7851 Walker St
Ste 101
La Palma, CA 90623-1734
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Emc Home Health Providers, IncCCN 059200
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 15, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1089978Emc Home Health Providers, Inc7851 Walker St Ste 101, La Palma, CA 90623Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

7851 Walker St
Ste 101
La Palma, CA 90623
Phone (714) 521-2510

7851 Walker St
Ste 108
La Palma, CA 90623
Phone (714) 521-4476

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jamcy Gumpal Individual W-2 Managing EmployeeAdministator, Director of Patien Oct 30, 2018 100%
Operational/Managerial ControlAdministrator, Director of Patie Oct 30, 2018 100%
Noah I Davis Individual 5% Or Greater Direct Ownership Interest Nov 18, 2017 100%
Corporate OfficerBoard Member-President, Secretar Nov 16, 2017 100%
Corporate DirectorBoard Member-President, Secretar Nov 16, 2017 100%
Jjblsr LLC Organization, Houston, TX LLC 5% Or Greater Direct Ownership Interest Nov 16, 2017 100%
Evelyn V Canlas Individual W-2 Managing EmployeeNursing Supervisor, Administator Oct 30, 2018 50%
Operational/Managerial ControlNursing Supervisor, Administrato Oct 30, 2018 50%
Monina S Fernando Individual W-2 Managing EmployeeAdministrator/DPCS Nov 16, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1093910283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 108",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "714-521-4476",
            "fax_number": "714-521-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 108",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-521-4476",
            "fax_number": "714-521-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMC HOME HEALTH PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARIA CECILIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-739-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.