Aquila Healthcare Systems, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000772 Issued in CA

Legal business name

AQUILA HEALTHCARE SYSTEMS, LLC

Practice address

3450 Wilshire Blvd
Suite 1000
Los Angeles, CA 90010-2208

Phone

(213) 380-1399

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Damon Clark

Title

Manager

Phone

(213) 380-1399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Total Care Nursing Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 057483

Legal name

AQUILA HEALTHCARE SYSTEMS, LLC

Doing business as

TOTAL CARE NURSING SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 10, 1994

Last certification

Mar 18, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 20, 2003 in CA

Enrollment address

3450 Wilshire Blvd
Ste 1003
Los Angeles, CA 90010-2257

Listed as

Total Care Nursing ServicesCCN 057483

Ownership

Proprietary

Certified

Mar 10, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Aquila Healthcare Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Aquila Healthcare Systems, LLC

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1720265093
  NPD tax ID

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.

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1205011335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE STE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307620",
            "telephone_number": "213-380-1399",
            "fax_number": "323-380-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WILSHIRE BLVD",
            "address_2": "SUITE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102208",
            "telephone_number": "213-380-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA HEALTHCARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-380-1399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LLC NUMBER",
            "identifier": "200320310073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Care Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Apt, Gindi, Gordon & Kerman, M.D.'S Inc
• Apt, Gindi, Gordon & Kerman, M.D.'S, Inc.
• Aptus Pacem, LLC
• Michael L. J. Apuzzo, M.D.
• Aqua Transport LLC
• Aquila Healthcare Systems, LLC
• Aquileo Martinez D.D.S., Inc.
• Susan Yanira Aquino Cobar, MSN, APRN, FNP-BC
• Aleenna Aquino
• Andres Aquino

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 2, 2023; 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.