NPIMap

Organization Active NPI

Emerald Corporation

  • Home Health Agency
  • Chino, CA
National Provider Identifier
1174729412
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EMERALD CORPORATION
Practice address
13771 Roswell Ave Ste H
Chino, CA 91710-5465
Phone
(909) 627-0408
Fax
(909) 628-4665
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Cecille Porscha Gordon
Title
Chief Operating Officer
Phone
(909) 627-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13771 Roswell Ave Ste H
Chino, CA 91710-5465

Mailing address

13771 Roswell Ave Ste H
Chino, CA 91710-5465
Phone (909) 627-0408

Other names 1

  • St Martin Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000956 CA Part A Provider - Home Health Agency 0941194864 Practice locations: Chino, CA

Home health agency certification: CCN 058288

Legal name
EMERALD CORPORATION
Doing business as
ST. MARTIN HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 24, 2004
Last certification
Dec 8, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 3, 2003 in CA
Enrollment address
13771 Roswell Ave
Ste H
Chino, CA 91710-5465

Care Compare: Home health agency

Medicare Care Compare
Listed as
St Martin Home HealthcareCCN 058288
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 24, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Emerald Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13791 Roswell Ave
Ste E
Chino, CA 91710
Phone (909) 627-0408

13771 Roswell Ave
Ste H
Chino, CA 91710
Phone (909) 627-0408

13751 Roswell Ave
Ste F
Chino, CA 91710
Phone (909) 627-0408

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Tarun Arora Individual Corporate OfficerCfo Mar 29, 2018 50%
Rahul Chawla Individual Corporate OfficerCeo Mar 29, 2018 50%
Mariacecilia P Tran Individual Corporate OfficerChief Operation Officer Mar 29, 2018
W-2 Managing EmployeeChief Operation Officer Mar 29, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1174729412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13771 ROSWELL AVE STE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105465",
            "telephone_number": "909-627-0408",
            "fax_number": "909-628-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 ROSWELL AVE STE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105465",
            "telephone_number": "909-627-0408",
            "fax_number": "909-628-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CECILLE",
        "authorized_official_middle_name": "PORSCHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "909-627-0408"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Martin Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.