Active NPI
Integrity Home Health Care Services, Inc.
- Home Health Agency
- Tarzana, CA
National Provider Identifier
1124400585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Mar 7, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Leonilo S Sta Maria | 5% Or Greater Direct Ownership Interest | Mar 27, 2014 | 100% |
| Corporate Officer | Mar 27, 2014 | 100% | |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.