NPIMap

Organization Active NPI

21St Century Home Health Services Inc

  • Home Health Agency
  • Burlingame, CA
National Provider Identifier
1184013369
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
21ST CENTURY HOME HEALTH SERVICES INC
Practice address
1575 Old Bayshore Hwy Ste 300
Burlingame, CA 94010-1616
Phone
(415) 801-2651
Fax
(415) 801-2652
NPI assigned
Jan 12, 2015
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Igor Brener
Title
President
Phone
(415) 801-2651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1575 Old Bayshore Hwy Ste 300
Burlingame, CA 94010-1616

Mailing address

1575 Old Bayshore Hwy Ste 300
Burlingame, CA 94010-1616
Phone (415) 801-2651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205001175 CA Part A Provider - Home Health Agency 1052636438 Practice locations: Burlingame, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184013369. Details of each certification follow.

Home health agency certification: CCN 059725

Legal name
21ST CENTURY HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2016
Last certification
Jul 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 19, 2014 in CA
Enrollment address
1633 Old Bayshore Hwy
Ste 216
Burlingame, CA 94010-1534
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
21St Century Home Health Services Inc.CCN 059725 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 20, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D210531221St Century Home Health Services Inc1633 Old Bayshore Hwy Suite 216, Burlingame, CA 94010Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

Locations

1575 Old Bayshore Hwy
Ste 300
Burlingame, CA 94010
Phone (415) 801-2651

1633 Old Bayshore Hwy
Ste 216
Burlingame, CA 94010
Phone (415) 801-2651

433 Airport Blvd
Ste 316
Burlingame, CA 94010
Phone (650) 270-0271

2000 Van Ness Ave
Ste 608
San Francisco, CA 94109
Phone (650) 270-0271

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
Igor Brener Individual 5% Or Greater Direct Ownership Interest Nov 19, 2014 33.34%
Corporate DirectorOwner/President Nov 19, 2014 25%
W-2 Managing EmployeeOwner/President Nov 19, 2014 25%
Diana Brener Individual 5% Or Greater Direct Ownership Interest Nov 19, 2014 33.33%
Corporate DirectorOwner/Vice President/Administrat Nov 19, 2014 25%
W-2 Managing EmployeeOwner/Vice President/Administrat Nov 19, 2014 25%
Ahmed Kaddoura Individual 5% Or Greater Direct Ownership Interest Nov 19, 2014 33.33%
Corporate DirectorOwner/Treasurer/Secretary Nov 19, 2014 50%
W-2 Managing EmployeeOwner/Treasurer/Secretary Nov 19, 2014 50%

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1184013369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 OLD BAYSHORE HWY STE 300",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101616",
            "telephone_number": "415-801-2651",
            "fax_number": "415-801-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 OLD BAYSHORE HWY STE 300",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101616",
            "telephone_number": "415-801-2651",
            "fax_number": "415-801-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BRENER",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-801-2651"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.