Bixby Knolls Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BIXBY KNOLLS HOME HEALTH, LLC

Practice address

3450 E Spring St
Suite 105
Long Beach, CA 90806-2440

Phone

(562) 650-0553

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Ronke Atane

Title

Administrator

Phone

(562) 650-0553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559047

Legal name

BIXBY KNOLLS HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 24, 2019

Last certification

Jul 24, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 25, 2013 in CA

Enrollment address

3450 E Spring St
Ste 105
Long Beach, CA 90806-6866
HHA Branch

Listed as

Bixby Knolls Home Health LLCCCN 559047

Ownership

Proprietary

Certified

Jul 24, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 1

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

• James Alexander McKinnell, M.D.

  • Infectious Disease Physician
  • Torrance, CA
  • NPI 1942403035

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1154724037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E SPRING ST",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062440",
            "telephone_number": "562-650-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E SPRING ST",
            "address_2": "SUITE 105",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062440",
            "telephone_number": "562-650-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY KNOLLS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "ATANE",
        "authorized_official_first_name": "RONKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-650-0553"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Rudolph Bisson, O.D.
• Adrian Bitowft, OTR/L
• Ronald Bitter, M.D.
• Bixby Healthcare Group LLC
• Bixby Knoll Place
• Bixby Knolls Towers, Inc
• Bixby Laser Center
• Bixby Medical Center Inc
• Black Girls Mental Health Collective, a Family Therapy Prof. Corp.
• Ariel Christine Black

• Home Health Agency in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.

Verify at the official NPI Registry.