Desire Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESIRE HOME CARE, INC

Practice address

10759 Magnolia Ave
Ste J
Riverside, CA 92505-3082

Phone

(951) 376-8018

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Yeneochia IkhelowaNPI 1376937276

Title

Administrator

Phone

(951) 376-8018

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Desire Home Health Doing business as
• Desire Home Care LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 053159

Legal name

DESIRE HOME CARE, INC.

Doing business as

DESIRE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 2, 2018

Last certification

Mar 2, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 26, 2018 in CA

Enrollment address

3742 Tibbetts St
Ste 203
Riverside, CA 92506-2641
HHA Branch

Listed as

Desire Home Health IncCCN 053159

Ownership

Proprietary

Certified

Mar 2, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yeneochia Ikhelowa, MPH, MBA, CPCO

  • Home Health Aide
  • Riverside, CA
  • NPI 1376937276
  NPD Authorized official

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1154790731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10759 MAGNOLIA AVE",
            "address_2": "STE J",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053082",
            "telephone_number": "951-376-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "IKHELOWA",
        "authorized_official_first_name": "YENEOCHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-376-8018"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1376937276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desire Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desire Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desire Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Desar Professional Dental Corporation
• Jyoti Vinod Desar, DDS
• Whitney Lynn Deshay, FNP-BC
• Mukund Deshmukh, MD
• Errajith Bertrand Ricardo Desilva, M.D.
• Sofia Desirello
• Jessica Paige Desmond
• Ryan Despain, PT, DPT
• Trevyn Lloyd Despain, RPT
• Raegan Desrosiers, RN

• Home Health Agency in Riverside, CA
• Providers in Riverside, 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 Jan 30, 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.

Verify at the official NPI Registry.