Carson Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARSON HEALTHCARE SERVICES LLC

Practice address

17625 Central Ave Ste D
Carson, CA 90746-1661

Phone

(310) 228-8682

Fax

(424) 271-2007

NPI assigned

Sep 15, 2015

Last updated

Oct 23, 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

Mr. Chinweike Ogbodo, NPNPI 1497139349

Title

President

Phone

(310) 228-8682

Specialties & licenses 4

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 1174992598. Details of each certification follow.

• CCN 053180 Home health agency · Active · Details

Home health agency certification: CCN 053180

Legal name

CARSON HEALTHCARE SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 14, 2018

Last certification

Aug 14, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

500 E Carson Plaza Dr
Ste 222
Carson, CA 90746-7340

Listed as

Carson Healthcare Services, LLCCCN 053180 · All quality measures

Ownership

Proprietary

Certified

Aug 14, 2018

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 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chinweike Ogbodo, NP

  • Family Nurse Practitioner
  • Carson, CA
  • NPI 1497139349
  NPD Authorized official

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1174992598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CARSON PLAZA DR STE 222",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467340",
            "telephone_number": "310-228-8682",
            "fax_number": "310-765-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 CENTRAL AVE STE D",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461661",
            "telephone_number": "310-228-8682",
            "fax_number": "424-271-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "OGBODO",
        "authorized_official_first_name": "CHINWEIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-228-8682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel O Carpena
• Carson Adult Day Health Care Center,Inc. (C & C Carson Adult Day Health Care Center)
• Carson Artificial Kidney Center, LLC
• Carson Eye Care Optometry, Inc
• Carson Foot Clinic a Podiatrist Group Inc
• Carson Wellness Pharmacy Inc
• Carson-Avalon Dialysis, LLC (U.S. Renal Care Carson Dialysis)
• Nyiema Desiree' Carter, PSYD
• Manuel Jesus Casillas, MASSAGE THERAPIST
• Clyde Cassel, R. PH.

• Home Health Agency in Carson, CA
• Providers in Carson, 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 Oct 23, 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.