Organization Active NPI

Sensicare Home Health Inc

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1154630556
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENSICARE HOME HEALTH INC
Practice address
99 N San Antonio Ave Ste 140
Upland, CA 91786-4578
Phone
(909) 949-8833
Fax
(909) 949-8834
NPI assigned
Oct 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Nicoleta Udenze, RN
Title
Administrator
Phone
(909) 949-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

99 N San Antonio Ave Ste 140
Upland, CA 91786-4578

Mailing address

99 N San Antonio Ave Ste 140
Upland, CA 91786-4578
Phone (909) 949-8833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110202000238 CA Part A Provider - Home Health Agency 3779763198 Practice locations: Upland, CA

Home health agency certification: CCN 059332

Legal name
SENSICARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 2011
Last certification
Jul 28, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 17, 2010 in CA
Enrollment address
99 N San Antonio Ave
Ste 140
Upland, CA 91786-4578

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sensicare Home Health IncCCN 059332
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 9, 2011
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
05D2024893Sensicare Home Health Inc99 N San Antonio Ave, Ste 140, Upland, CA 91786Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

222 N Mountain Ave
Ste 214
Upland, CA 91786
Phone (909) 949-8833

99 N San Antonio Ave
Ste 140
Upland, CA 91786
Phone (909) 931-1800

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
Prince Udenze Individual 5% Or Greater Direct Ownership Interest Dec 1, 2010 70%
General Partnership InterestCeo, Board Member Jun 10, 2010 70%
Corporate OfficerCeo, Board Memebr Jun 10, 2010 70%
W-2 Managing EmployeeRN Jun 10, 2010 70%
Nicoleta Udenze Individual 5% Or Greater Direct Ownership Interest Dec 1, 2010 30%
General Partnership InterestDirector of Patient Care Service Jun 10, 2010 30%
Corporate OfficerDirector of Patient Care Service Jun 10, 2010 30%
Corporate DirectorDirector of Patient Care Service Jun 10, 2010 100%
W-2 Managing EmployeeRN Jun 10, 2010 30%
Gladis Barbuc Individual W-2 Managing EmployeeBoard Member, Administrator Desi Dec 1, 2010 30%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1154630556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE STE 140",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864578",
            "telephone_number": "909-949-8833",
            "fax_number": "909-949-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE STE 140",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864578",
            "telephone_number": "909-949-8833",
            "fax_number": "909-949-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSICARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "UDENZE",
        "authorized_official_first_name": "NICOLETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-949-8833",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.