Active NPI
Centennial Home Health, Inc.
- Home Health Agency
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CENTENNIAL HOME HEALTH, INC.
- Practice address
- 101 E Redlands Blvd
Suite 247
Redlands, CA 92373-4775 - Phone
- (909) 904-0829
- NPI assigned
- Apr 22, 2021
- 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
- Adalbert Zamora
- Title
- Administrator
- Phone
- (909) 904-0829
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
101 E Redlands Blvd
Suite 247
Redlands, CA 92373-4775
Mailing address
101 E Redlands Blvd
Suite 247
Redlands, CA 92373-4775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230911000695 | CA | Part A Provider - Home Health Agency | 4587028527 | Practice locations: Redlands, CA |
Home health agency certification: CCN 758204
- Legal name
- CENTENNIAL HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 7, 2025
- Last certification
- May 19, 2025
- Organization structure
- Corporation
- Incorporated
- Sep 22, 2020 in CA
- Enrollment address
- 101 E Redlands Blvd
Ste 247
Redlands, CA 92373-4725
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Centennial Home Health, Inc.
- Ownership
- -
- Certified
- May 7, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2305021 | Centennial Home Health, Inc. | Certificate of waiver | May 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
101 E Redlands Blvd
Ste 247
Redlands, CA 92373
Phone (909) 471-8887
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lailanie Zamora | 5% Or Greater Direct Ownership Interest | Sep 22, 2020 | 50% |
| Corporate Officer | Sep 22, 2020 | 50% | |
| Corporate Director | Sep 22, 2020 | 50% | |
| Operational/Managerial Control | Sep 22, 2020 | 50% | |
| Adalbert M Zamora | 5% Or Greater Direct Ownership Interest | Oct 26, 2020 | 50% |
| Corporate Officer | Apr 22, 2021 | 50% | |
| Corporate Director | Oct 26, 2020 | 50% | |
| W-2 Managing Employee | Jun 1, 2021 | 50% | |
| Operational/Managerial Control | Oct 26, 2020 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Redlands, CA
- NPI 1275285736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1124600895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD",
"address_2": "SUITE 247",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD",
"address_2": "SUITE 247",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734775",
"telephone_number": "909-904-0829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTENNIAL HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "ZAMORA",
"authorized_official_first_name": "ADALBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-904-0829"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.