Lotus Healthcare Partners, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000959 Issued in CA

Legal business name

LOTUS HEALTHCARE PARTNERS, INC

Practice address

402 S Prospectors Rd Ste G
Diamond Bar, CA 91765-1618

Phone

(909) 396-7440

Fax

(909) 396-7488

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Jocelyn Bunoan Manalo, RN, MSN FNP

Title

Administrator

Phone

(909) 396-7440

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557636

Legal name

LOTUS HEALTHCARE PARTNERS, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 14, 1995

Last certification

Nov 13, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 4, 1995 in CA

Enrollment address

414 S Prospectors Rd
Ste G
Diamond Bar, CA 91765-1615

Listed as

Lotus Healthcare Partners, IncCCN 557636

Ownership

Proprietary

Certified

Dec 14, 1995

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 4

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

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1174522700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD STE G",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651618",
            "telephone_number": "909-396-7440",
            "fax_number": "909-396-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S PROSPECTORS RD STE G",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651618",
            "telephone_number": "909-396-7440",
            "fax_number": "909-396-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HEALTHCARE PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "BUNOAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-396-7440",
        "authorized_official_credential": "RN, MSN FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57636F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGIONAL CENTER",
            "identifier": "HP0276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Diamond Bar, CA
• Providers in Diamond Bar, 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 Nov 6, 2017; 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.