Avery Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVERY HOME HEALTH AGENCY, INC.

Practice address

750 The City Dr S Ste 480
Orange, CA 92868-4940

Phone

(714) 798-2537

Fax

(714) 902-6996

NPI assigned

Mar 22, 2010

Last updated

Jul 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Bailey

Title

Director of Special Projects

Phone

(661) 373-5943

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164746038. Details of each certification follow.

• CCN 059428 Home health agency · Active · Details

Home health agency certification: CCN 059428

Legal name

AVERY HOME HEALTH AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 18, 2012

Last certification

Jul 27, 2020

Ownership / control type

Proprietary

Most recent change of ownership

Sep 25, 2025

Organization structure

CorporationProprietary

Incorporated

Mar 25, 2010 in CA

Enrollment address

725 W Town and Country Rd
Ste 420
Orange, CA 92868-4718

Listed as

Avery Home Health Agency, IncCCN 059428 · All quality measures

Ownership

Proprietary

Certified

May 18, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Anchor Healthcare LLC

  • Home Health Agency
  • Long Beach, CA
  • NPI 1720525769

  FPPS-Ca, LLC

  CMS ownership
• Special Care Home Health Services, Inc.

  • Home Health Agency
  • San Diego, CA
  • NPI 1396210134

  FPPS-Ca, LLC

  CMS ownership

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1164746038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 THE CITY DR S STE 480",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684940",
            "telephone_number": "714-798-2537",
            "fax_number": "714-902-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 THE CITY DR S STE 480",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684940",
            "telephone_number": "714-798-2537",
            "fax_number": "714-902-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROJECTS",
        "authorized_official_telephone_number": "661-373-5943"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Diana Avalos
• Kaylee Avalos
• Sergio Avalos
• Syerra Lanie Avalos
• Avani Sarvaiya DDS Inc (Orange Sky Dental)
• Andrea D. Avery, MD
• Gabrielle Maria Avery, MD, MPH
• Avid Mental Health a Professional Nursing Corporation
• Yvette M Avila-Cao, RN
• Alexandra Isabel Avila

• Home Health Agency in Orange, CA
• Providers in Orange, 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 Jul 12, 2026; 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.