NPIMap

Organization Active NPI

Newline Home Health and Palliative Care Inc

  • Home Health Agency
  • Colton, CA
National Provider Identifier
1144736422
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEWLINE HOME HEALTH AND PALLIATIVE CARE INC
Practice address
827 N la Cadena Dr
Colton, CA 92324-2747
Phone
(909) 375-1232
Fax
(909) 375-0898
NPI assigned
Dec 21, 2017
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Mr. Andre Ovakimyan
Title
Ceo
Phone
(909) 375-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

827 N la Cadena Dr
Colton, CA 92324-2747

Mailing address

827 N la Cadena Dr
Colton, CA 92324-2747
Phone (818) 579-8404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210002397 CA Part A Provider - Home Health Agency 9638502370 Practice locations: Colton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144736422. Details of each certification follow.

Home health agency certification: CCN 559266

Legal name
NEWLINE HOME HEALTH AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 2020
Last certification
Sep 1, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 29, 2017 in CA
Enrollment address
827 N la Cadena Dr
Colton, CA 92324-2747

Care Compare: Home health agency

Medicare Care Compare
Listed as
Newline Home Health and Palliative Care, Inc.CCN 559266 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Sep 1, 2020
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
05D2170279Newline Home Health and Palliative Care, Inc827 North la Cadena Drive, Colton, CA 92324Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

827 N La Cadena Dr
Colton, CA 92324
Phone (909) 375-1232

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
Andre Ovakimyan Individual 5% Or Greater Direct Ownership InterestOwner Sep 29, 2017 100%
Corporate OfficerCeo/Fo/Secretary/Owner Sep 29, 2017 100%
Corporate DirectorCeo/Fo/Secretary/Owner Sep 29, 2017 100%
Michelle Ramirez Individual W-2 Managing EmployeeAd;DPCS Oct 19, 2025
Tari Barillas Individual W-2 Managing EmployeeDPCS Designee Sep 22, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 22

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1144736422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242747",
            "telephone_number": "818-579-8404",
            "fax_number": "818-573-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N LA CADENA DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242747",
            "telephone_number": "909-375-1232",
            "fax_number": "909-375-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWLINE HOME HEALTH AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "OVAKIMYAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-375-1232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.