NPIMap

Organization Active NPI

Golden Pacific Home Health, Inc.

  • Home Health Agency
  • Alameda, CA
National Provider Identifier
1104111483
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN PACIFIC HOME HEALTH, INC.
Practice address
1151 Harbor Bay Pkwy Ste 201a
Alameda, CA 94502-6533
Phone
(510) 910-1081
NPI assigned
Jun 14, 2011
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Warren Delfin
Title
Administrator
Phone
(650) 581-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1151 Harbor Bay Pkwy Ste 201a
Alameda, CA 94502-6533

Mailing address

1151 Harbor Bay Pkwy Ste 201a
Alameda, CA 94502-6533
Phone (510) 373-2799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120403000010 CA Part A Provider - Home Health Agency 7618137407 Practice locations: Alameda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104111483. Details of each certification follow.

Home health agency certification: CCN 059441

Legal name
GOLDEN PACIFIC HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2012
Last certification
Sep 2, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Apr 18, 2011 in CA
Enrollment address
1151 Harbor Bay Pkwy
Ste 201a
Alameda, CA 94502-6533

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Pacific Home Health, IncCCN 059441 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Nov 26, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Pillars Healthcare LLC Organization, Alameda, CA LLC Other May 22, 2014
Golden Pacific Home Health, Inc. Organization, Alameda, CA Non-profit 5% Or Greater Direct Ownership Interest May 1, 2020 100%
5% Or Greater Security Interest May 1, 2020 100%
Operational/Managerial Control May 1, 2020 100%
Warren S Delfin Individual 5% Or Greater Direct Ownership Interest May 1, 2020 100%
W-2 Managing Employee Mar 1, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1104111483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 HARBOR BAY PKWY STE 201A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026533",
            "telephone_number": "510-373-2799",
            "fax_number": "510-373-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HARBOR BAY PKWY STE 201A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026533",
            "telephone_number": "510-910-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PACIFIC HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "DELFIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-581-1359"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.