Organization Active NPI

A'S Home Health Care, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1114948858
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
240000869 Issued in CA
Legal business name
A'S HOME HEALTH CARE, INC.
Practice address
11030 Arrow Route
Unit 202
Rancho Cucamonga, CA 91730-4837
Phone
(909) 465-9023
Fax
(909) 465-9032
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Ms. Jemaima Castro
Title
Ceo
Phone
(909) 465-9023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 240000869 CA Primary

Addresses

Primary practice location

11030 Arrow Route
Unit 202
Rancho Cucamonga, CA 91730-4837

Mailing address

11030 Arrow Route
Unit 202
Rancho Cucamonga, CA 91730-4837
Phone (909) 465-9023

Other identifiers 1

IdentifierTypeStateIssuer
HHA08313FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001222 CA Part A Provider - Home Health Agency 5092618900 Practice locations: Rancho Cucamonga, CA

Home health agency certification: CCN 058313

Legal name
A'S HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 2005
Last certification
Aug 25, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2003 in CA
Enrollment address
11030 Arrow Rte
Ste 202
Rancho Cucamonga, CA 91730-4837

Care Compare: Home health agency

Medicare Care Compare
Listed as
A'S Home Health Care, IncCCN 058313
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 25, 2005
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
05D1024150A'S Home Health Care, Inc11030 Arrow Route Ste 202, Rancho Cucamonga, CA 91730Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
A'S 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

11030 Arrow Rte
Ste 202
Rancho Cucamonga, CA 91730
Phone (909) 466-0009

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jocelyn Valle Individual 5% Or Greater Direct Ownership Interest Oct 1, 2019 33.34%
Corporate OfficerCeo/Administrator/DPCS May 2, 2019 50%
Corporate DirectorCeo/Administrator/DPCS May 2, 2019 50%
W-2 Managing EmployeeDPCS/Administrator May 2, 2019 50%
Operational/Managerial ControlCeo, Administrator, DPCS Oct 1, 2019 33.34%
Diana Yaun Individual 5% Or Greater Direct Ownership InterestCfo Oct 1, 2019 33.33%
Corporate OfficerCfo Oct 1, 2019 33.33%
Corporate DirectorCfo Oct 1, 2019 33.33%
W-2 Managing EmployeeCfo Oct 1, 2019 33.33%
Operational/Managerial ControlCfo Oct 1, 2019 33.33%
Maria Suarez Individual 5% Or Greater Direct Ownership InterestCorporate Secretary Oct 1, 2019 33.33%
Corporate OfficerCorporate Secretary Oct 1, 2019 33.33%
Corporate DirectorCorporate Secretary Oct 1, 2019 33.33%
W-2 Managing EmployeeCorporate Scretary Oct 1, 2019 33.33%
Operational/Managerial ControlCorporate Secretary Oct 1, 2019 33.33%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1114948858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 ARROW ROUTE",
            "address_2": "UNIT 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304837",
            "telephone_number": "909-465-9023",
            "fax_number": "909-465-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 ARROW ROUTE",
            "address_2": "UNIT 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304837",
            "telephone_number": "909-465-9023",
            "fax_number": "909-465-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A'S HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JEMAIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-465-9023",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08313F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.