Organization Active NPI

Precious Home Health Services, Inc

  • Home Health Agency
  • Walnut, CA
National Provider Identifier
1215936166
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRECIOUS HOME HEALTH SERVICES, INC
Practice address
18856 Amar Rd
Ste #7
Walnut, CA 91789-7103
Phone
(626) 581-4174
Fax
(626) 581-4074
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Marilou C Tani
Title
Administrator
Phone
(626) 581-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

18856 Amar Rd
Ste #7
Walnut, CA 91789-7103

Mailing address

18856 Amar Rd
Ste #7
Walnut, CA 91789-7103
Phone (626) 581-4174

Other identifiers 1

IdentifierTypeStateIssuer
HHA08124FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020927000015 CA Part A Provider - Home Health Agency 0345157004 Practice locations: Walnut, CA

Home health agency certification: CCN 058124

Legal name
PRECIOUS HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 2002
Last certification
Sep 1, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 28, 2001 in CA
Enrollment address
18780 Amar Rd
Ste 104
Walnut, CA 91789-4558

Care Compare: Home health agency

Medicare Care Compare
Listed as
Precious Home Health ServicesCCN 058124
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 21, 2002
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
05D0996471Precious Home Health Services Inc18780 Amar Road Ste 104, Walnut, CA 91789Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Locations

18856 Amar Rd
Ste 7
Walnut, CA 91789
Phone (626) 581-4174

18780 Amar Rd
Ste 104
Walnut, CA 91789
Phone (626) 581-4174

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Robert Kina Wei Individual Corporate DirectorManagerial Sep 20, 2010
Teresa C Gelfand Individual W-2 Managing EmployeeAdministrator Designee/Director Jul 1, 2016 100%
Conchita del Mundo Individual Contracted Managing EmployeeConsultative Jan 2, 2004
Corporate DirectorConsultative Sep 20, 2010
Sergio I Trani Individual Contracted Managing EmployeeConsultative Aug 1, 2011
Marylou Tylan Bueta Individual Corporate DirectorConsultative Mar 1, 2006
Lilia T Diamsay Individual W-2 Managing EmployeeAdministrator/Director of Patien Jul 1, 2016 100%
Eddy a Gasparyan Individual 5% Or Greater Direct Ownership InterestOwner Jul 1, 2016 100%
Corporate OfficerPresident Jul 1, 2016 100%
W-2 Managing EmployeeChief Financial Officer Jul 1, 2016 100%

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

Affiliated clinicians 1

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215936166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18856 AMAR RD",
            "address_2": "STE #7",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897103",
            "telephone_number": "626-581-4174",
            "fax_number": "626-581-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18856 AMAR RD",
            "address_2": "STE #7",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917897103",
            "telephone_number": "626-581-4174",
            "fax_number": "626-581-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TANI",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-581-4174",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08124F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.