NPIMap

Organization Active NPI

Aic Health Care Inc.

Doing business as AIC Home Health Services

  • Home Health Agency
  • Livermore, CA
National Provider Identifier
1144675869
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550004316 Issued in CA
Legal business name
AIC HEALTH CARE INC.
Doing business as
AIC Home Health Services
Practice address
4049 First St Ste 229
Livermore, CA 94551
Phone
(925) 215-1890
Fax
(925) 271-5112
NPI assigned
May 2, 2016
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Ms. Helen Maranan Macatangay, RNNPI 1336788173
Title
Director of Patient Care Services
Phone
(510) 378-5167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550004316 CA Primary

Addresses

Primary practice location

4049 First St Ste 229
Livermore, CA 94551

Mailing address

4049 First St Ste 229
Livermore, CA 94551-5363
Phone (925) 215-1890

Other names 1

  • AIC Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160627001467 CA Part A Provider - Home Health Agency 5991096703 Practice locations: Livermore, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144675869. Details of each certification follow.

Home health agency certification: CCN 553192

Legal name
AIC HEALTH CARE, INC.
Doing business as
AIC HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 18, 2019
Last certification
Jun 18, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 18, 2013 in CA
Enrollment address
4049 1St St
Ste 229
Livermore, CA 94551-5363

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aic Home Health ServicesCCN 553192 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 18, 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
Tax ID family
Aic Health Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4049 1st St
Ste 229
Livermore, CA 94551
Phone (510) 378-5167

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
Helen M. Macatangay Individual 5% Or Greater Direct Ownership Interest Mar 1, 2016 100%
Corporate OfficerPresident Mar 1, 2016 100%
Corporate DirectorCeo Mar 1, 2016 100%
W-2 Managing EmployeeAdministrator/DPCS Mar 1, 2016 100%

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1144675869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 FIRST ST STE 229",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945515363",
            "telephone_number": "925-215-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 FIRST ST STE 229",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94551",
            "telephone_number": "925-215-1890",
            "fax_number": "925-271-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIC HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "MACATANGAY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "MARANAN",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE SERVICES",
        "authorized_official_telephone_number": "510-378-5167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550004316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIC Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AIC Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.