Active NPI
Cne Home Health Services, Inc.
- Home Health Agency
- Riverside, CA
National Provider Identifier
1205928439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 250000806
- Legal business name
- CNE HOME HEALTH SERVICES, INC.
- Practice address
- 10600 Magnolia Ave Ste G
Riverside, CA 92505-1819 - Phone
- (951) 351-4263
- Fax
- (951) 351-1454
- NPI assigned
- Sep 28, 2006
- 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
- Suzette Poblete
- Title
- Administrator
- Phone
- (951) 351-4263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 250000806 | CA | Primary |
Addresses
Primary practice location
10600 Magnolia Ave Ste G
Riverside, CA 92505-1819
Mailing address
10600 Magnolia Ave Ste G
Riverside, CA 92505-1819
Phone (951) 351-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08297F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507001208 | CA | Part A Provider - Home Health Agency | 7911996681 | Practice locations: Riverside, CA |
Home health agency certification: CCN 058297
- Legal name
- CNE HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 23, 2004
- Last certification
- Oct 5, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 30, 2004 in CA
- Enrollment address
- 10600 Magnolia Ave
Ste G
Riverside, CA 92505-1819
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Cne Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 23, 2004
- 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 |
|---|---|---|---|
| 05D1032165 | Cne Home Health Services Inc | Certificate of waiver | Oct 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
10600 Magnolia Ave
Ste G
Riverside, CA 92505
Phone (951) 351-4263
4393 Tyler St
Riverside, CA 92503
Phone (951) 351-4263
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Suzette Poblete | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 63% |
| Corporate Officer | Nov 1, 2014 | 63% | |
| Corporate Director | Apr 28, 2004 | 63% | |
| W-2 Managing Employee | Nov 1, 2014 | 63% | |
| Antonette J Sembrano | 5% Or Greater Direct Ownership Interest | Nov 1, 2014 | 37% |
| Corporate Officer | Nov 1, 2014 | 37% | |
| Corporate Director | Nov 1, 2014 | 37% | |
| W-2 Managing Employee | Nov 1, 2014 | 37% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626393600000",
"number": "1205928439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 MAGNOLIA AVE STE G",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051819",
"telephone_number": "951-351-4263",
"fax_number": "951-351-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MAGNOLIA AVE STE G",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051819",
"telephone_number": "951-351-4263",
"fax_number": "951-351-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CNE HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A",
"authorized_official_last_name": "POBLETE",
"authorized_official_first_name": "SUZETTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "951-351-4263"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "250000806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08297F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.