Active NPI
Glenn Estacio Legaspi
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1194049619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001605
- Practice address
- 819 S Alvarado St
Ste. 102
Los Angeles, CA 90057-4075 - Phone
- (213) 252-8981
- Fax
- (213) 252-8214
- NPI assigned
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001605 | CA | Primary |
Addresses
Primary practice location
819 S Alvarado St
Ste. 102
Los Angeles, CA 90057-4075
Mailing address
819 S Alvarado St
Ste. 102
Los Angeles, CA 90057-4075
Phone (213) 252-8981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Home Health Services, Inc. | Home Health | Current | Accepting new patients |
| Equicare Medical Supply, Inc. | Current | Accepting new patients | |
| Renaissance Home Health Services | Home Health | Past | Accepting new patients |
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2020 | Change of Ownership | Renaissance Home Health Services Inc |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Glendale, CA
- NPI 1528657483
Sold to, 2020-08-01
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Facility/Intermediate Care Facility
- Los Angeles, CA
- NPI 1710960885
-
- Home Health Agency
- Glendale, CA
- NPI 1528657483
-
- Home Health Agency
- Los Angeles, CA
- NPI 1275765885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1194049619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 S ALVARADO ST",
"address_2": "STE. 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574075",
"telephone_number": "213-252-8981",
"fax_number": "213-252-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 S ALVARADO ST",
"address_2": "STE. 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574075",
"telephone_number": "213-252-8981",
"fax_number": "213-252-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGASPI",
"first_name": "GLENN",
"middle_name": "ESTACIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.