Organization Active NPI

All Support at Home LLC

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1205218732
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Apr 7, 2015 in CA
Enrollment address
1038 Leigh Ave
Ste 216
San Jose, CA 95126-4129
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
All Support at Home, LLCCCN 559411 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 4, 2021
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
05D2101519All Support at Home LLC1038 Leigh Ave Ste 216, San Jose, CA 95126Certificate of waiverSep 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mohammed Saad Individual 5% Or Greater Direct Ownership InterestOwner Aug 9, 2017 100%
W-2 Managing EmployeeCeo Apr 7, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

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

Verify at the official NPI Registry.