Organization Active NPI

Hearten Home Health, Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1114182870
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000910 Issued in CA
Legal business name
HEARTEN HOME HEALTH, INC.
Practice address
1720 E Los Angeles Ave
Suite 217
Simi Valley, CA 93065-2057
Phone
(805) 578-2327
Fax
(805) 578-9327
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Samuel E Anusiem
Title
Ceo
Phone
(805) 578-2327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000910 CA Primary

Addresses

Primary practice location

1720 E Los Angeles Ave
Suite 217
Simi Valley, CA 93065-2057

Mailing address

1720 E Los Angeles Ave
Suite 217
Simi Valley, CA 93065-2057
Phone (805) 578-2327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000160 CA Part A Provider - Home Health Agency 2163597790 Practice locations: Simi Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114182870. Details of each certification follow.

Home health agency certification: CCN 059088

Legal name
HEARTEN HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 4, 2009
Last certification
Oct 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 3, 2008 in CA
Enrollment address
1720E Los Angeles Ave 217
Simi Valley, CA 93065-2057

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hearten Home Health IncCCN 059088 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 4, 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
05D1100525Hearten Home Health, Inc1720 E Los Angeles Ave Ste 217, Simi Valley, CA 93065Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

1720 E Los Angeles Ave
Ste 217
Simi Valley, CA 93065
Phone (805) 578-2327

1720 E Los Angeles Ave
Ste 232
Simi Valley, CA 93065
Phone (805) 578-2327

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Fe L Flint Individual Operational/Managerial ControlDPCS Aug 1, 2015 5%
Samuel E Anusiem Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2012 100%
Corporate OfficerCeo/President Aug 16, 2012 100%
Corporate DirectorCeo/President Aug 16, 2012 100%
W-2 Managing EmployeeCeo/President Aug 16, 2012 100%
Operational/Managerial ControlCeo/President Aug 16, 2012 100%
Nancy Joyce Postr Vinson-Wharry Individual W-2 Managing EmployeeDPCS Aug 1, 2014 100%
Operational/Managerial ControlDPCS Aug 1, 2014 100%
Peoplecare Health System Inc Organization, Simi Valley, CA Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Aug 16, 2012 100%
Operational/Managerial Control Aug 16, 2012 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1114182870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE",
            "address_2": "SUITE 217",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652057",
            "telephone_number": "805-578-2327",
            "fax_number": "805-578-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE",
            "address_2": "SUITE 217",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652057",
            "telephone_number": "805-578-2327",
            "fax_number": "805-578-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTEN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "ANUSIEM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-578-2327"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.