NPIMap

Organization Active NPI

Self-Help for the Elderly

  • Home Health Agency
  • San Francisco, CA
National Provider Identifier
1215085394
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SELF-HELP FOR THE ELDERLY
Practice address
731 Sansome St
#100
San Francisco, CA 94111-1725
Phone
(415) 677-7628
Fax
(415) 398-5903
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Ms. Anni Chung
Title
Ceo & President
Phone
(415) 677-7628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary
Community Based Hospice Care Agency 251G00000X 220000141 CA

Addresses

Primary practice location

731 Sansome St
#100
San Francisco, CA 94111-1725

Mailing address

731 Sansome St
#100
San Francisco, CA 94111-1725
Phone (415) 677-7628

Other identifiers 1

IdentifierTypeStateIssuer
HPC01667FMedicaidCA

Other names 1

  • Self-Help HomeCare & Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000662 CA Part A Provider - Hospice 6608908942 Practice locations: San Francisco, CA

Hospice certification: CCN 051667

Legal name
SELF-HELP FOR THE ELDERLY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 27, 1995
Last certification
Jan 23, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 20, 1971 in CA
Enrollment address
731 Sansome St
Ste 100
San Francisco, CA 94111-1725

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Self-Help Home Care & HospiceCCN 051667
Ownership
For-Profit
Certified
Sep 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Self-Help for the Elderly4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

407 Sansome St
San Francisco, CA 94111
Phone (415) 677-7628

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Mary Chang Individual Corporate Director Jul 1, 2017
Randall Low Individual Corporate Director Aug 28, 2017
Janie Kaung Individual Corporate Director Oct 15, 2010
Dickson Sum Individual Corporate Director Sep 7, 2021
Vicky Wong Individual Corporate Director Feb 1, 2015
Ming Min Zen Individual Corporate Director Apr 1, 2020
Angel Chen Individual Corporate Director Feb 23, 2015
Jerry Lee Individual Corporate Director Oct 15, 2010
Anni Chung Individual Corporate Director Oct 15, 2010
W-2 Managing Employee Oct 15, 2010
Yat-Pang Au Individual Corporate Director Feb 27, 2012
Yicheng Wu Individual W-2 Managing Employee Sep 16, 2015
May Wong Individual Corporate Director Jul 1, 2013
Self-Help for the Elderly Organization, San Francisco, CA Non-profit 5% Or Greater Direct Ownership Interest Dec 5, 1995 100%
Elsie Hinton Individual Corporate Director Feb 27, 2017
Dominic Li Individual Corporate Director Oct 15, 2010
William Schulte Individual Corporate Director Oct 15, 2010
Nicholas Jay Individual Corporate Director Aug 22, 2016
Joseph Cho Yin Lau Individual Corporate Director Jul 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1215085394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SANSOME ST",
            "address_2": "#100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111725",
            "telephone_number": "415-677-7628",
            "fax_number": "415-398-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SANSOME ST",
            "address_2": "#100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111725",
            "telephone_number": "415-677-7628",
            "fax_number": "415-398-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-HELP FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "ANNI",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "415-677-7628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "220000141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01667F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self-Help HomeCare & Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.