Organization Active NPI

Home Care Excellence Health Services, Inc

  • Home Health Agency
  • Cerritos, CA
National Provider Identifier
1114947660
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001511 Issued in CA
Legal business name
HOME CARE EXCELLENCE HEALTH SERVICES, INC
Practice address
10900 183Rd St
Suite # 190
Cerritos, CA 90703-5342
Phone
(562) 860-3424
Fax
(562) 860-3426
NPI assigned
Jul 20, 2006
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Mrs. Adela Q Asha, RN
Title
Director of Patient Care Services
Phone
(562) 860-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001511 CA Primary

Addresses

Primary practice location

10900 183Rd St
Suite # 190
Cerritos, CA 90703-5342

Mailing address

10900 183Rd St
Suite # 190
Cerritos, CA 90703-5342
Phone (562) 860-3424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030225000021 CA Part A Provider - Home Health Agency 8820907371 Practice locations: Cerritos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114947660. Details of each certification follow.

Home health agency certification: CCN 058243

Legal name
HOME CARE EXCELLENCE HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2003
Last certification
Mar 26, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 26, 2002 in CA
Enrollment address
10900 183Rd St
Ste 190
Cerritos, CA 90703-5346

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Excellence Health Services, IncCCN 058243 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 12, 2003
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
05D1010349Home Care Excellence HLTH Services Inc10900 East 183Rd Street, Suite 190, Cerritos, CA 90703Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

10900 183rd St
Ste 190
Cerritos, CA 90703
Phone (562) 860-3424

13079 Artesia Blvd
#B106
Cerritos, CA 90703
Phone (562) 404-2552

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.

NameRoleSinceShare
Claudia E Solorzano Individual 5% Or Greater Direct Ownership Interest Jan 1, 2017 35%
Corporate OfficerVice President Jan 1, 2017 35%
Corporate DirectorBoard Member Jan 1, 2017 35%
W-2 Managing EmployeeIntake Coodinator/Human Resource Jan 1, 2017 35%
Operational/Managerial ControlVice President Jan 1, 2017 35%
Donna a Chambers Individual 5% Or Greater Direct Ownership Interest Jan 1, 2017 65%
Corporate OfficerPresident/Secretary/Treasurer Jan 1, 2017 65%
Corporate DirectorChairman of the Board Jan 1, 2017 65%
W-2 Managing EmployeeAdministrator/Director of Patien Jan 1, 2017 65%
Operational/Managerial ControlPresident Jan 1, 2017 65%

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1114947660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 183RD ST",
            "address_2": "SUITE # 190",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035342",
            "telephone_number": "562-860-3424",
            "fax_number": "562-860-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 183RD ST",
            "address_2": "SUITE # 190",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035342",
            "telephone_number": "562-860-3424",
            "fax_number": "562-860-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE EXCELLENCE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "ASHA",
        "authorized_official_first_name": "ADELA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE SERVICES",
        "authorized_official_telephone_number": "562-860-3424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.