Organization Active NPI

Corinthian Health Care Services, Inc.

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1205806007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CORINTHIAN HEALTH CARE SERVICES, INC.
Practice address
6903 Reseda Blvd
Reseda, CA 91335-4207
Phone
(818) 881-8388
NPI assigned
Jan 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Grace M Briones
Title
Administrator
Phone
(818) 881-8388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

6903 Reseda Blvd
Reseda, CA 91335-4207

Mailing address

6903 Reseda Blvd
Reseda, CA 91335-4207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030307000048 CA Part A Provider - Home Health Agency 0042129306 Practice locations: Reseda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205806007. Details of each certification follow.

Home health agency certification: CCN 058227

Legal name
CORINTHIAN HEALTH CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2003
Last certification
Jun 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 6, 2002 in CA
Enrollment address
6903 Reseda Blvd
Reseda, CA 91335-4207

Care Compare: Home health agency

Medicare Care Compare
Listed as
Corinthian Health Care Services, IncCCN 058227 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 12, 2003
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
05D1013671Corinthian Health Care Services Inc6903 Reseda Blvd, Reseda, CA 91335Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Locations

6903 Reseda Blvd
Reseda, CA 91335
Phone (818) 881-8388

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Angelito Vitug Individual 5% Or Greater Direct Ownership Interest Feb 16, 2022 20%
Corporate DirectorBoard Member Feb 16, 2022
Julio N Vitug Individual 5% Or Greater Direct Ownership Interest Feb 16, 2022 30%
Corporate OfficerCfo Nov 6, 2002
Corporate DirectorBoard Member Apr 4, 2003
W-2 Managing EmployeeAssistant Administrator Apr 20, 2012
Grace May Briones Organization, Van Nuys, CA For-profit Operational/Managerial Control Mar 1, 2004
Philip Michael Briones Individual 5% Or Greater Direct Ownership Interest Feb 16, 2022 20%
Corporate DirectorBoard Member Feb 16, 2022
Jester Lloyd Bautista Individual W-2 Managing EmployeeDirector of Patient Care Services Mar 31, 2025
Elenardee Vitug Individual 5% Or Greater Direct Ownership InterestCfo Feb 16, 2022 30%
Corporate OfficerCeo Nov 6, 2002
Corporate DirectorBoard Member Apr 4, 2003
Grace May Briones Individual Corporate OfficerSecretary Jan 3, 2006
Corporate DirectorBoard Member Jul 15, 2004
W-2 Managing EmployeeAdministrator Jul 15, 2004
Nicole Sabado Esguerra Individual W-2 Managing EmployeeAsst DPCS/Clinical Supervisor Jul 16, 2018

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205806007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354207",
            "telephone_number": "818-881-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTHIAN HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-881-8388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.