Organization Active NPI

Cne Home Health Services, Inc.

  • Home Health Agency
  • Riverside, CA
National Provider Identifier
1205928439
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
250000806 Issued in CA
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

Updated by the provider on Jul 16, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA08297FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 058297
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 23, 2004
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
05D1032165Cne Home Health Services Inc10600 Magnolia Ave, Ste G, Riverside, CA 92505Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Suzette Poblete Individual 5% Or Greater Direct Ownership Interest Nov 1, 2014 63%
Corporate OfficerPresident Nov 1, 2014 63%
Corporate DirectorAdministrator Apr 28, 2004 63%
W-2 Managing EmployeePresident, Administrator Nov 1, 2014 63%
Antonette J Sembrano Individual 5% Or Greater Direct Ownership Interest Nov 1, 2014 37%
Corporate OfficerVice President, Secretary Nov 1, 2014 37%
Corporate DirectorDPCS Nov 1, 2014 37%
W-2 Managing EmployeeVice President, DPCS 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

Verify at the official NPI Registry.