Active NPI
RC Home Healthcare Inc
- Home Health Agency
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 240000874
- Legal business name
- RC HOME HEALTHCARE INC
- Practice address
- 1934 W 9TH St Unit a
Upland, CA 91786-5607 - Phone
- (909) 373-1626
- Fax
- (909) 373-1629
- NPI assigned
- Feb 12, 2007
- 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
- Percida Canlas, RN
- Title
- Administrator
- Phone
- (909) 373-1626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 240000874 | CA | Primary |
Addresses
Primary practice location
1934 W 9TH St Unit a
Upland, CA 91786-5607
Mailing address
1934 W 9TH St Unit a
Upland, CA 91786-5607
Phone (909) 373-1626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040520001350 | CA | Part A Provider - Home Health Agency | 2860483526 | Practice locations: Upland, CA |
Home health agency certification: CCN 058342
- Legal name
- RC HOME HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 1, 2006
- Last certification
- Oct 4, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 5, 2004 in CA
- Enrollment address
- 1934 W 9TH St
Unit a
Upland, CA 91786-5607
Care Compare: Home health agency
Medicare Care Compare- Listed as
- RC Home Healthcare Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 1, 2006
- 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 |
|---|---|---|---|
| 05D1031040 | RC Home Healthcare Inc | Certificate of waiver | Sep 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
600 N Mountain Ave
Ste B202
Upland, CA 91786
Phone (909) 373-1626
1934 W 9th St
Unit A
Upland, CA 91786
Phone (909) 373-1626
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Cindy C Eslava | Corporate Director | Jun 25, 2004 | |
| W-2 Managing Employee | Jan 5, 2004 | ||
| Percida Canlas | 5% Or Greater Direct Ownership Interest | Jan 5, 2004 | 70% |
| Corporate Director | Jun 25, 2004 | ||
| W-2 Managing Employee | Jan 5, 2004 | ||
| Jose Canlas | Corporate Director | Jun 25, 2004 | |
| W-2 Managing Employee | Jan 5, 2004 | ||
| Ryan Jim C Canlas | 5% Or Greater Direct Ownership Interest | Jan 5, 2004 | 30% |
| Corporate Director | Jun 25, 2004 | ||
| W-2 Managing Employee | Jan 5, 2004 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Baldwin Park, CA
- NPI 1174728778
Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Baldwin Park, CA
- NPI 1174728778
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": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1215079835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1934 W 9TH ST UNIT A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865607",
"telephone_number": "909-373-1626",
"fax_number": "909-373-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 W 9TH ST UNIT A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865607",
"telephone_number": "909-373-1626",
"fax_number": "909-373-1629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RC HOME HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "CANLAS",
"authorized_official_first_name": "PERCIDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-373-1626",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "240000874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.