Organization Active NPI

Valencia Home Health Care, LLC

  • Home Health Agency
  • Canyon Country, CA
National Provider Identifier
1154789485
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
163WH0200X Issued in CA
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

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Mrs. Dorothy Okesola, NP-CNPI 1063980084
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jun 8, 2015 in CA
Enrollment address
18333 Dolan Way
Ste 206
Canyon Country, CA 91387-5423
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valencia Home Health Care, LLCCCN 559007
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 15, 2019
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
05D2128375Valencia Home Health Care, LLC18333 Dolan Way Ste. 206, Canyon Country, CA 91387Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Dorothy Olere Okesola Individual 5% Or Greater Direct Ownership InterestCeo Jun 15, 2015 100%
Corporate OfficerCeo Jun 15, 2015 100%
Corporate DirectorCeo Jun 15, 2015 100%
W-2 Managing EmployeeCeo Jun 15, 2015 100%
Operational/Managerial ControlCeo Jun 15, 2015 100%
OtherCeo 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.

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

Verify at the official NPI Registry.