Active NPI
Nevada Gem Home Health
- Home Health Agency
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001122
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08034F | Medicaid | CA |
Other names 1
- California Nurses Home Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Ownership
- Proprietary
- Certified
- Jul 17, 1998
- 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 |
|---|---|---|---|
| 05D0932442 | California Nurses Home Health Services | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Taningco | 5% Or Greater Direct Ownership Interest | Jun 7, 1996 | 50% |
| Corporate Officer | Jun 7, 1996 | 100% | |
| Erlinda P Fisher | W-2 Managing Employee | Apr 1, 2016 | 100% |
| Grace Taningco | 5% Or Greater Direct Ownership Interest | Nov 28, 2007 | 50% |
| Corporate Officer | Jun 7, 1996 | 100% | |
| Vijay Kumar | Contracted Managing Employee | Jul 24, 2006 | |
| Corporate Director | Jul 24, 2006 | ||
| Richard D Taningco | Corporate Officer | 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.
-
- Specialist
- Simi Valley, CA
- NPI 1689638587
Contracted Managing Employee, Corporate Director
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.