Home Care Excellence Health Services, Inc
Organization Active NPI Home Health Agency · Cerritos, CA
NPI 1114947660 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1114947660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 980001511 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Adela Q Asha, RN
- Title
- Director of Patient Care Services
- Phone
- (562) 860-3424
Affiliated clinicians 5
-
Melvin W. Coats, M.D.
-
Jose M Diaz, M.D
-
Mir M Madani, M.D.
-
Marco A Martinez, M.D.
-
Anto Varghese Maliakkal, M.D. H.M.D.C
Medicare Care Compare: Home health agency
- Listed as
- Home Care Excellence Health Services, Inc
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Dec 12, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1010349 | Home Care Excellence HLTH Services Inc | Certificate of waiver | Mar 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Incorporated
- Jul 26, 2002 in CA
- Enrollment address
- 10900 183Rd St
Ste 190
Cerritos, CA 90703-5346
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Claudia E Solorzano |
5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 35% |
| Corporate Officer |
Jan 1, 2017 | 35% | |
| Corporate Director |
Jan 1, 2017 | 35% | |
| W-2 Managing Employee |
Jan 1, 2017 | 35% | |
| Operational/Managerial Control |
Jan 1, 2017 | 35% | |
| Donna a Chambers |
5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 65% |
| Corporate Officer |
Jan 1, 2017 | 65% | |
| Corporate Director |
Jan 1, 2017 | 65% | |
| W-2 Managing Employee |
Jan 1, 2017 | 65% | |
| Operational/Managerial Control |
Jan 1, 2017 | 65% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030225000021 | CA | Part a Provider - Home Health Agency | 8820907371 | Practice locations: Cerritos, CA |
National Provider Directory
Locations
13079 Artesia Blvd
#B106
Cerritos, CA 90703
Phone (562) 404-2552
10900 183rd St
Ste 190
Cerritos, CA 90703
Phone (562) 860-3424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001511 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08243F | Medicaid | CA |
Other providers in Cerritos, CA
- Psalm Chang Ho
- Roy Ho
- Steven Hoang
- Shawn Hofkes
- Eileen Holbrook
- Home Care Link Health Services, Inc
- Home Health Care of the East, Inc.
- Grace Hong
- Monica Hong
- Hospice of the East and Palliative Care Inc
All providers in Cerritos, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.