Eminence Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000929 Issued in CA

Legal business name

EMINENCE HOME HEALTH CARE, INC.

Practice address

5810 Monterey Rd
Los Angeles, CA 90042-4926

Phone

(818) 830-7113

Fax

(818) 830-1633

NPI assigned

Apr 3, 2006

Last updated

Mar 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Oscar Abaya Parel, N/A

Title

Ceo - Administrator

Phone

(818) 830-7113

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225090681. Details of each certification follow.

• CCN 557587 Home health agency · Active · Details

Home health agency certification: CCN 557587

Legal name

EMINENCE HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 21, 1995

Last certification

Oct 5, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 2, 1996 in CA

Enrollment address

2443 Atlantic Ave
Long Beach, CA 90806-3221

Listed as

Eminence Home Health Care, IncCCN 557587 · All quality measures

Ownership

Proprietary

Certified

Sep 21, 1995

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 3

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

Affiliated clinicians 1

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

• Santos A Uy Jr., MD

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1740290899

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1225090681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424926",
            "telephone_number": "818-830-7113",
            "fax_number": "818-830-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424926",
            "telephone_number": "818-830-7113",
            "fax_number": "818-830-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "PAREL",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "ABAYA",
        "authorized_official_title_or_position": "CEO - ADMINISTRATOR",
        "authorized_official_telephone_number": "818-830-7113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57587G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 26, 2018; 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.