Organization Active NPI

Nevada Gem Home Health

  • Home Health Agency
  • Granada Hills, CA
National Provider Identifier
1164590246
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001122 Issued in CA
Legal business name
NEVADA GEM HOME HEALTH
Practice address
17418 Chatsworth St Ste 200
Granada Hills, CA 91344-7626
Phone
(818) 832-1889
Fax
(818) 832-3112
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Richard Taningco Sr.
Title
Administrator Ceo
Phone
(818) 832-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001122 CA Primary

Addresses

Primary practice location

17418 Chatsworth St Ste 200
Granada Hills, CA 91344-7626

Mailing address

17418 Chatsworth St Ste 200
Granada Hills, CA 91344-7626
Phone (818) 832-1889

Other identifiers 1

IdentifierTypeStateIssuer
HHA08034FMedicaidCA

Other names 1

  • California Nurses Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000250 CA Part A Provider - Home Health Agency 0840376240 Practice locations: Granada Hills, CA

Home health agency certification: CCN 058034

Legal name
NEVADA GEM HOME HEALTH
Doing business as
CALIFORNIA NURSES HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 17, 1998
Last certification
Jul 26, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 7, 1996 in NV
Enrollment address
17418 Chatsworth St 200
Granada Hills, CA 91344-7626

Care Compare: Home health agency

Medicare Care Compare
Listed as
California Nurses Home Health ServicesCCN 058034
Ownership
Proprietary
Certified
Jul 17, 1998
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
05D0932442California Nurses Home Health Services17418 Chatsworth Street, Suite 200, Granada Hills, CA 91344Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

17418 Chatsworth St
Ste 200
Granada Hills, CA 91344
Phone (818) 832-1889

12235 Beach Blvd
Ste 115A
Stanton, CA 90680
Phone (714) 732-1035

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Taningco Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Jun 7, 1996 50%
Corporate OfficerCeo/Administrator Jun 7, 1996 100%
Erlinda P Fisher Individual W-2 Managing EmployeeDPCS Apr 1, 2016 100%
Grace Taningco Individual 5% Or Greater Direct Ownership InterestCfo Nov 28, 2007 50%
Corporate OfficerCfo Jun 7, 1996 100%
Vijay Kumar Individual Contracted Managing EmployeeMedical Director Jul 24, 2006
Corporate DirectorMedical Director Jul 24, 2006
Richard D Taningco Individual Corporate OfficerCoo/Assistant Administrator Mar 28, 2003

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1164590246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17418 CHATSWORTH ST STE 200",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447626",
            "telephone_number": "818-832-1889",
            "fax_number": "818-832-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17418 CHATSWORTH ST STE 200",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447626",
            "telephone_number": "818-832-1889",
            "fax_number": "818-832-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA GEM HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "TANINGCO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "818-832-1889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08034F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Nurses Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.