Organization Active NPI

Phoenix Home Health Torrance LLC

  • Home Health Agency
  • Torrance, CA
National Provider Identifier
1174208490
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHOENIX HOME HEALTH TORRANCE LLC
Practice address
21151 S. Western Ave., #154
Torrance, CA 90501-1724
Phone
(818) 731-7173
Fax
(626) 683-9969
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Ralph SantosNPI 1083721369
Title
Managing Member
Phone
(818) 731-7173

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 Primary

Addresses

Primary practice location

21151 S. Western Ave., #154
Torrance, CA 90501-1724

Mailing address

5447 Cochise St
Simi Valley, CA 93063-2049
Phone (818) 731-7173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809000479 CA Part A Provider - Home Health Agency 5496117533 Practice locations: Torrance, CA

Home health agency certification: CCN 758105

Legal name
PHOENIX HOME HEALTH TORRANCE, LLC
Doing business as
PHOENIX HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 24, 2025
Last certification
Jun 13, 2025
Organization structure
LLCProprietary
Incorporated
in CA
Enrollment address
21151 S Western Ave
Ste 154
Torrance, CA 90501-1724

Care Compare: Home health agency

Medicare Care Compare
Listed as
Phoenix Home HealthCCN 758105
Ownership
-
Certified
Jun 24, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Phoenix Home Health Holdings, LLC Organization, Simi Valley, CA Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 25, 2023 100%
Ralph Santos Individual 5% Or Greater Indirect Ownership InterestManaging MBR/Admin May 23, 2023 100%
Corporate OfficerManaging MBR/Admin May 25, 2023 100%
Corporate DirectorManaging MBR/Admin May 23, 2023 100%
W-2 Managing EmployeeAd; May 25, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1174208490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 COCHISE ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632049",
            "telephone_number": "818-731-7173",
            "fax_number": "626-683-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21151 S. WESTERN AVE., #154",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "818-731-7173",
            "fax_number": "626-683-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOME HEALTH TORRANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "818-731-7173"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.