Organization Active NPI

RC Home Healthcare Inc

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1215079835
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
240000874 Issued in CA
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

Updated by the provider on Sep 10, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 058342
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 1, 2006
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
05D1031040RC Home Healthcare Inc1934 W 9TH Street, Upland, CA 91786Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Cindy C Eslava Individual Corporate DirectorSecretary Jun 25, 2004
W-2 Managing Employee Jan 5, 2004
Percida Canlas Individual 5% Or Greater Direct Ownership InterestVP of Finance Jan 5, 2004 70%
Corporate Director Jun 25, 2004
W-2 Managing Employee Jan 5, 2004
Jose Canlas Individual Corporate DirectorPresident Jun 25, 2004
W-2 Managing Employee Jan 5, 2004
Ryan Jim C Canlas Individual 5% Or Greater Direct Ownership InterestVice President 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.