Organization Active NPI

Integrity Home Health Care Services, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1124400585
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTEGRITY HOME HEALTH CARE SERVICES, INC.
Practice address
5530 Corbin Ave Ste 107
Tarzana, CA 91356-6000
Phone
(818) 678-9604
Fax
(818) 678-9536
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mr. Leonilo S Sta. Maria III
Title
Ceo/President
Phone
(818) 678-9604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5530 Corbin Ave Ste 107
Tarzana, CA 91356-6000

Mailing address

5530 Corbin Ave Ste 107
Tarzana, CA 91356-6000
Phone (818) 678-9604

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120000038 CA Part A Provider - Home Health Agency 0648524108 Practice locations: Tarzana, CA

Home health agency certification: CCN 559009

Legal name
INTEGRITY HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 7, 2019
Last certification
Mar 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 27, 2014 in CA
Enrollment address
5530 Corbin Ave
Ste 107
Tarzana, CA 91356-6000

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integrity Home Health Care Services, IncCCN 559009
Ownership
Proprietary
Certified
Mar 7, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

20832 Roscoe Blvd
Ste 210
Canoga Park, CA 91306
Phone (818) 678-9354

5530 Corbin Ave
Ste 107
Tarzana, CA 91356
Phone (818) 678-9354

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Leonilo S Sta Maria Individual 5% Or Greater Direct Ownership InterestCeo Mar 27, 2014 100%
Corporate OfficerCeo/President/Secretary/Treasure Mar 27, 2014 100%
Corporate DirectorCeo/President/Secretary/Treasure Mar 27, 2014 100%
W-2 Managing Employee Mar 27, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1124400585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 107",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566000",
            "telephone_number": "818-678-9604",
            "fax_number": "818-678-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 107",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566000",
            "telephone_number": "818-678-9604",
            "fax_number": "818-678-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "STA. MARIA",
        "authorized_official_first_name": "LEONILO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-678-9604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.