NPIMap

Organization Active NPI

Allcare Health Services LLC

  • Home Health Agency
  • Ontario, CA
National Provider Identifier
1144838012
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLCARE HEALTH SERVICES LLC
Practice address
360 S Milliken Ave Ste FG
Ontario, CA 91761-7847
Phone
(818) 386-6358
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Mr. Jonathan Sassover
Title
Ceo
Phone
(818) 377-6202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

360 S Milliken Ave Ste FG
Ontario, CA 91761-7847

Mailing address

13111 Ventura Blvd
Studio City, CA 91604-2218
Phone (310) 266-4367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200908001982 CA Part A Provider - Home Health Agency 2466870480 Practice locations: Ontario, CA

Home health agency certification: CCN 059029

Legal name
ALLCARE HEALTH SERVICES LLC
Doing business as
PRIME HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2009
Last certification
Aug 5, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 5, 2020 in CA
Enrollment address
360 S Milliken Ave
Ste F&G
Ontario, CA 91761-7847

Care Compare: Home health agency

Medicare Care Compare
Listed as
Prime Home HealthCCN 059029
Ownership
Proprietary
Certified
Jan 29, 2009
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
05D2274064Allcare Health Services, LLC360 S Milliken Ave Suite F, Ontario, CA 91761Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Michael Davidov Individual 5% Or Greater Indirect Ownership InterestPresident and BM May 5, 2020 40.2%
Operational/Managerial ControlPresident and BM May 20, 2020 50%
Pine Street Healthcare Intermediate Holdings II LLC Organization, Culver City, CA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 15, 2021 100%
Operational/Managerial Control Jul 15, 2021 100%
Jonathan D Sassover Individual Contracted Managing EmployeeAdministrator May 5, 2020 50%
5% Or Greater Indirect Ownership InterestCeo and BM May 5, 2020 40.2%
Operational/Managerial ControlCeo Abd BM May 5, 2020 50%
Paul M Finnegan Individual 5% Or Greater Indirect Ownership InterestIndirect Owner May 5, 2020 10%
Pine Street Healthcare Holdings LLC Organization, Culver City, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 5, 2020 100%
Pine Street Healthcare Intermediate Holdings, LLC Organization, Studio City, CA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 15, 2021 100%
Justin Mateen Individual 5% Or Greater Indirect Ownership InterestIndirect Owner May 5, 2020 5.6%

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1144838012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042218",
            "telephone_number": "310-266-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S MILLIKEN AVE STE FG",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617847",
            "telephone_number": "818-386-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "SASSOVER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-377-6202",
        "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 Ontario, CA

Sources for this page

Verify at the official NPI Registry.