Active NPI
Valencia Home Health Care, LLC
- Home Health Agency
- Canyon Country, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 163WH0200X
- Legal business name
- VALENCIA HOME HEALTH CARE, LLC
- Practice address
- 18333 Dolan Way
Suite 206
Canyon Country, CA 91387-5424 - Phone
- (661) 424-9590
- NPI assigned
- Feb 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dorothy Okesola, NP-C
- Title
- Administrator
- Phone
- (818) 464-6827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 163WH0200X | CA | Primary |
Addresses
Primary practice location
18333 Dolan Way
Suite 206
Canyon Country, CA 91387-5424
Mailing address
18333 Dolan Way
Suite 206
Canyon Country, CA 91387-5424
Phone (661) 424-9590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180307000159 | CA | Part A Provider - Home Health Agency | 2961763065 | Practice locations: Canyon Country, CA |
Home health agency certification: CCN 559007
- Legal name
- VALENCIA HOME HEALTH CARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 15, 2019
- Last certification
- Mar 15, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 8, 2015 in CA
- Enrollment address
- 18333 Dolan Way
Ste 206
Canyon Country, CA 91387-5423
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Valencia Home Health Care, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 15, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2128375 | Valencia Home Health Care, LLC | Certificate of waiver | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
18333 Dolan Way
Ste 206
Santa Clarita, CA 91387
Phone (661) 424-9590
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dorothy Olere Okesola | 5% Or Greater Direct Ownership Interest | Jun 15, 2015 | 100% |
| Corporate Officer | Jun 15, 2015 | 100% | |
| Corporate Director | Jun 15, 2015 | 100% | |
| W-2 Managing Employee | Jun 15, 2015 | 100% | |
| Operational/Managerial Control | Jun 15, 2015 | 100% | |
| Other | Jun 15, 2015 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Santa Clarita, CA
- NPI 1063980084
Affiliated clinicians 1
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": "1454284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562803200000",
"number": "1154789485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18333 DOLAN WAY",
"address_2": "SUITE 206",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913875424",
"telephone_number": "661-424-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18333 DOLAN WAY",
"address_2": "SUITE 206",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913875424",
"telephone_number": "661-424-9590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALENCIA HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-01",
"last_updated": "2019-07-11",
"status": "A",
"authorized_official_last_name": "OKESOLA",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-464-6827",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "163WH0200X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.