NPIMap

Organization Active NPI

Quality Home Health Care, Inc.

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1104885318
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000847 Issued in CA
Legal business name
QUALITY HOME HEALTH CARE, INC.
Practice address
3218 E Holt Ave
Suite 104
West Covina, CA 91791-2364
Phone
(626) 966-6893
Fax
(626) 966-7344
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mrs. Rosario Maniquis, REGISTERED NURSE
Title
Administrator
Phone
(626) 966-6893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000847 CA Primary

Addresses

Primary practice location

3218 E Holt Ave
Suite 104
West Covina, CA 91791-2364

Mailing address

3218 E Holt Ave
Suite 104
West Covina, CA 91791-2364
Phone (626) 966-6893

Other identifiers 1

IdentifierTypeStateIssuer
HHA57478FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000881 CA Part A Provider - Home Health Agency 2466538335 Practice locations: Lakewood, CA

Home health agency certification: CCN 557478

Legal name
QUALITY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 1994
Last certification
Apr 5, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
5230 Clark Ave
Ste 19
Lakewood, CA 90712-2674

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quality Home Health Care, IncCCN 557478
Ownership
Proprietary
Certified
Dec 20, 1994
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
Tax ID family
Quality Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

858 S Oak Park Rd
Ste 101
Covina, CA 91724
Phone (626) 966-6893

969 S Village Oaks Dr
Ste 206
Covina, CA 91724
Phone (626) 966-6893

3218 E Holt Ave
West Covina, CA 91791
Phone (626) 966-6893

3218 E Holt Ave
Unit 104
West Covina, CA 91791
Phone (626) 966-6893

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Rea Angelica Augustine P Tolentino Individual 5% Or Greater Direct Ownership Interest Apr 9, 2025 100%
Corporate OfficerCeo Apr 9, 2025 100%
Corporate DirectorCeo Apr 9, 2025 100%
W-2 Managing EmployeeDPCS Apr 9, 2025 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 8

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": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1104885318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 E HOLT AVE",
            "address_2": "SUITE 104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912364",
            "telephone_number": "626-966-6893",
            "fax_number": "626-966-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 E HOLT AVE",
            "address_2": "SUITE 104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912364",
            "telephone_number": "626-966-6893",
            "fax_number": "626-966-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MANIQUIS",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-966-6893",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57478F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.