Home Health of St. Camillus LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME HEALTH OF ST. CAMILLUS LLC

Practice address

5201 Deer Valley Rd Ste 1C
Antioch, CA 94531-7430

Phone

(925) 978-4118

Fax

(925) 978-4149

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Ma Elena Roberts

Title

Owner

Phone

(925) 270-5977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757583

Legal name

HOME HEALTH OF ST CAMILLUS LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 31, 2023

Last certification

Oct 19, 2023

Organization structure

LLCProprietary

Incorporated

Jun 23, 2021 in CA

Enrollment address

50 Sand Creek Rd
Ste 236
Brentwood, CA 94513-7302

Listed as

Home Health of St Camillus LLCCCN 757583 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Oct 31, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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 5

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

Affiliated clinicians 4

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

• Pacita R Aducayen, M.D.

  • Internal Medicine Physician
  • Pittsburg, CA
  • NPI 1851307219

  Home health agency

  Care Compare affiliation
• Steven J Nelson, MD

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1558327908

  Home health agency

  Care Compare affiliation
• Wengang Zhang, M.D.

  • Internal Medicine Physician
  • Pittsburg, CA
  • NPI 1063451243

  Home health agency

  Care Compare affiliation
• James Kenji Nozaki, M.D.

  • Family Medicine Physician
  • Tamuning, GU
  • NPI 1437228541

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1184294787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD STE 1C",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317430",
            "telephone_number": "925-978-4118",
            "fax_number": "925-978-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 DEER VALLEY RD STE 1C",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317430",
            "telephone_number": "925-978-4118",
            "fax_number": "925-978-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH OF ST. CAMILLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MA ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-270-5977"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugen Hollingshead
• Hollywood Rcfe, LLC
• Kayla Holmes
• Chanteel Holoman
• Gwyndolyn Holtmeyer
• Amanda Hon
• Allison Honea
• Honeynut Haven Rcfe
• Hong Xie, DDS, Inc.
• Jhung Hyun Hong

• Home Health Agency in Antioch, CA
• Providers in Antioch, 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 Jul 9, 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.