Active NPI
All Support at Home LLC
- Home Health Agency
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALL SUPPORT AT HOME LLC
- Practice address
- 1038 Leigh Ave
Suite 216
San Jose, CA 95126-4129 - Phone
- (408) 971-1997
- NPI assigned
- Jun 20, 2015
- Last updated
- Sep 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed K Saad
- Title
- Ceo/LLC Member
- Phone
- (408) 458-0373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1038 Leigh Ave
Suite 216
San Jose, CA 95126-4129
Mailing address
1038 Leigh Ave
Suite 216
San Jose, CA 95126-4129
Phone (408) 971-1997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161007000284 | CA | Part A Provider - Home Health Agency | 8729376769 | Practice locations: San Jose, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205218732. Details of each certification follow.
Home health agency certification: CCN 559411
- Legal name
- ALL SUPPORT AT HOME LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 4, 2021
- Last certification
- Feb 4, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 7, 2015 in CA
- Enrollment address
- 1038 Leigh Ave
Ste 216
San Jose, CA 95126-4129
Care Compare: Home health agency
Medicare Care Compare- Listed as
- All Support at Home, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 4, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2101519 | All Support at Home LLC | Certificate of waiver | Sep 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1038 Leigh Ave
Ste 216
San Jose, CA 95126
Phone (408) 971-1997
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mohammed Saad | 5% Or Greater Direct Ownership Interest | Aug 9, 2017 | 100% |
| W-2 Managing Employee | Apr 7, 2015 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sports Medicine (Family Medicine) Physician
- Santa Clara, CA
- NPI 1528043403
Home health agency
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1083700330
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475193600000",
"number": "1205218732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 LEIGH AVE",
"address_2": "SUITE 216",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951264129",
"telephone_number": "408-971-1997",
"fax_number": "408-689-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 LEIGH AVE",
"address_2": "SUITE 216",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951264129",
"telephone_number": "408-971-1997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL SUPPORT AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-20",
"last_updated": "2016-09-30",
"status": "A",
"authorized_official_last_name": "SAAD",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO/LLC MEMBER",
"authorized_official_telephone_number": "408-458-0373"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.