Healthyu Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHYU HOME CARE INC

Practice address

1451 Rimpau Ave Ste 208
Corona, CA 92879-7522

Phone

(951) 268-6163

Fax

(951) 518-9007

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Kisa Fatima

Title

Ceo

Phone

(951) 268-6163

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 1225620305. Details of each certification follow.

• CCN 757007 Home health agency · Active · Details

Home health agency certification: CCN 757007

Legal name

HEALTHYU HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 1, 2022

Last certification

Jul 1, 2022

Organization structure

CorporationProprietary

Incorporated

Jan 20, 2021 in CO

Enrollment address

2600 Foothill Blvd
Ste 301
La Crescenta, CA 91214-4579
HHA Branch

Listed as

Healthyu Home Care, IncCCN 757007 · All quality measures

Ownership

-

Certified

Jul 1, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1225620305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 RIMPAU AVE STE 208",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797522",
            "telephone_number": "951-268-6163",
            "fax_number": "951-518-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 RIMPAU AVE STE 208",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797522",
            "telephone_number": "951-268-6163",
            "fax_number": "951-518-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYU HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "KISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-268-6163"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.