Nightingale Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

080000783 Issued in CA

Legal business name

NIGHTINGALE HOME CARE, INC.

Practice address

4579 Maple Ave. Ste. 2
La Mesa, CA 91941

Phone

(619) 337-1888

Fax

(619) 337-1072

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Li, RN

Title

Administrator

Phone

(619) 337-1888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225015563. Details of each certification follow.

• CCN 058287 Home health agency · Active · Details

Home health agency certification: CCN 058287

Legal name

NIGHTINGALE HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2005

Last certification

Dec 3, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 5, 2003 in CA

Enrollment address

4579 Maple Ave 2-4
La Mesa, CA 91941-3154

Listed as

Nightingale Home Care IncCCN 058287 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Feb 28, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mumtaz Thomas Almansour, M.D.

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1558567446

  Home health agency

  Care Compare affiliation
• Elaine Gertser, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1992719967

  Home health agency

  Care Compare affiliation
• David Preston Hansen, MD

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1275647521

  Home health agency

  Care Compare affiliation
• Frederick D Jenkin, PHYSICIAN

  • Family Medicine Physician
  • La Mesa, CA
  • NPI 1225069123

  Home health agency

  Care Compare affiliation
• Nelda V. Ordonez, M.D.

  • General Practice Physician
  • Chula Vista, CA
  • NPI 1922410919

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1225015563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 MAPLE AVE STE 2",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413154",
            "telephone_number": "619-337-1888",
            "fax_number": "619-337-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 MAPLE AVE. STE. 2",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91941",
            "telephone_number": "619-337-1888",
            "fax_number": "619-337-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-337-1888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Anh Nguyen, PHARM.D.
• Vinh Duc Nguyen, M.D.
• Samantha Nichols
• Jessica Brooke Niebrugge, PT
• Natalie Niedzwiedz, PT, DPT
• Mastaneh Nikravesh, MD
• Rhealynn Sison Nofuente, FNP-C
• Christine Mae Nordling, MD
• Rileigh Olivia Norman, PA-C
• North County Lifeline

• Home Health Agency in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.

Verify at the official NPI Registry.