Organization Active NPI

Mve Home Health Care LLC

  • Home Health Agency
  • La Habra, CA
National Provider Identifier
1215682083
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MVE HOME HEALTH CARE LLC
Practice address
1901 E Lambert Rd Ste 202
La Habra, CA 90631-5757
Phone
(562) 316-5311
Fax
(562) 316-5123
NPI assigned
Feb 19, 2022
Last updated
Feb 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Authorized official

Name
Mark Sy, PT, DPTNPI 1730378670
Title
Administrator
Phone
(714) 721-7995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1901 E Lambert Rd Ste 202
La Habra, CA 90631-5757

Mailing address

1901 E Lambert Rd Ste 202
La Habra, CA 90631-5757
Phone (562) 316-5311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240624000326 CA Part A Provider - Home Health Agency 8224571930 Practice locations: La Habra, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215682083. Details of each certification follow.

Home health agency certification: CCN 757774

Legal name
MVE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 28, 2024
Last certification
Oct 16, 2024
Organization structure
LLCProprietary
Enrollment address
1901 E Lambert Rd
Ste 202
La Habra, CA 90631-5757

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mve Home Health Care, LLCCCN 757774 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Oct 28, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2323943Mve Home Health Care LLC1901 E Lambert Rd Ste 202, La Habra, CA 90631Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

1901 E Lambert Rd
Ste 202
La Habra, CA 90631
Phone (562) 316-5300

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
Mark Q Sy Individual 5% Or Greater Direct Ownership Interest Jan 4, 2022 50%
Corporate OfficerAdministrator/Secretary/Owner Jan 4, 2022 50%
Corporate DirectorAdministrator/Secretary/Owner Jan 4, 2022 50%
Edma Rachelle Sy Individual 5% Or Greater Direct Ownership InterestN/a Jan 4, 2022 50%
Corporate OfficerCeo/Cfo/DPCS/Owner Jan 4, 2022 50%
W-2 Managing EmployeeCeo/Cfo/DPCS/Owner Jan 4, 2022 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1215682083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E LAMBERT RD STE 202",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315757",
            "telephone_number": "562-316-5311",
            "fax_number": "562-316-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E LAMBERT RD STE 202",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315757",
            "telephone_number": "562-316-5311",
            "fax_number": "562-316-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-721-7995",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.