Shasta Family Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHASTA FAMILY HEALTH CARE SERVICES

Doing business as

Shasta Family Health Care Services

Practice address

2350 Balls Ferry Rd Ste a
Anderson, CA 96007-3598

Phone

(530) 378-5283

Fax

(530) 378-5284

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Angelica Cortez

Title

Assistant Administrator

Phone

(530) 378-5283

Specialties & licenses 1

Addresses

Other names 1

• Shasta Family Health Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758062

Legal name

SHASTA FAMILY HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 16, 2025

Last certification

Jul 2, 2025

Organization structure

CorporationProprietary

Enrollment address

2350 Balls Ferry Rd
Ste a
Anderson, CA 96007-3598
HHA Branch

Listed as

Shasta Family Health Care ServicesCCN 758062 · All quality measures

Ownership

-

Certified

Jul 16, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1205488731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BALLS FERRY RD STE A",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073598",
            "telephone_number": "530-378-5283",
            "fax_number": "530-378-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BALLS FERRY RD STE A",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073598",
            "telephone_number": "530-378-5283",
            "fax_number": "530-378-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA FAMILY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "530-378-5283"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Family Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poonam Seth
• Aubrey Severne, LM, CPM
• Shafer Professional Home Care Service LLC
• Zena Shamas Yousif
• Shasta Community Health Center
• Lily Parker Smith, DMD
• Melissa Anne Smith, C.O.T.A./L
• Stephanie Sciarra Smith, P.T.
• South County Behavioral Health
• David J Spangle Jr.

• Home Health Agency in Anderson, CA
• Providers in Anderson, 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 15, 2019; 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.