Active NPI
Saving Life Home Health Inc.
- Home Health Agency
- Riverside, CA
National Provider Identifier
1114491404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SAVING LIFE HOME HEALTH INC.
- Practice address
- 10590 Magnolia Ave Ste F
Riverside, CA 92505-1813 - Phone
- (951) 353-9615
- Fax
- (866) 879-0401
- NPI assigned
- Jan 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Nunez
- Title
- Ceo/Administrator
- Phone
- (951) 323-4975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10590 Magnolia Ave Ste F
Riverside, CA 92505-1813
Mailing address
10590 Magnolia Ave Ste F
Riverside, CA 92505-1813
Phone (951) 323-4975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190612000642 | CA | Part A Provider - Home Health Agency | 9032442710 | Practice locations: Riverside, CA |
Home health agency certification: CCN 757101
- Legal name
- SAVING LIFE HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 10, 2022
- Last certification
- Sep 2, 2022
- Organization structure
- Corporation
- Incorporated
- Nov 26, 2018 in CA
- Enrollment address
- 10590 Magnolia Ave
Ste F1
Riverside, CA 92505-6903
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Saving Life Home Health Inc
- Overall star rating
- Ownership
- -
- Certified
- Sep 10, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Saving Life Home Health Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Riverside, CA
- NPI 1205580180
-
- Home Health Agency
- Riverside, CA
- NPI 1699429522
Locations
10590 Magnolia Ave
Ste F1
Riverside, CA 92505
Phone (951) 353-9615
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer V Nunez | 5% Or Greater Direct Ownership Interest | Nov 26, 2018 | 100% |
| Corporate Officer | Nov 26, 2018 | 100% | |
| Corporate Director | Nov 26, 2018 | 100% | |
| W-2 Managing Employee | Jan 21, 2019 | 100% | |
| Operational/Managerial Control | Jan 21, 2019 | 100% | |
| Jade F Gemora | W-2 Managing Employee | Jan 21, 2019 | |
| Operational/Managerial Control | Jan 21, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sports Medicine (Family Medicine) Physician
- La Quinta, CA
- NPI 1649289992
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1114491404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10590 MAGNOLIA AVE STE F",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051813",
"telephone_number": "951-323-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 MAGNOLIA AVE STE F",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051813",
"telephone_number": "951-353-9615",
"fax_number": "866-879-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVING LIFE HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "NUNEZ",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "951-323-4975"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.