Tea Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001529 Issued in CA

Legal business name

TEA HEALTHCARE SERVICES, INC.

Practice address

1025 W San Bernardino Rd
Covina, CA 91722-4106

Phone

(626) 962-7921

Fax

(626) 962-7931

NPI assigned

Apr 19, 2006

Last updated

Nov 21, 2023By 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

Mrs. Vanessa Alojipan

Title

Administrator/Dopcs

Phone

(626) 962-7921

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 1235194507. Details of each certification follow.

• CCN 058252 Home health agency · Active · Details

Home health agency certification: CCN 058252

Legal name

TEA HEALTHCARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 28, 2004

Last certification

Dec 12, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 10, 2003 in CA

Enrollment address

1025 W San Bernardino Rd
Covina, CA 91722-4106

Listed as

Tea Healthcare Services IncCCN 058252 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Apr 28, 2004

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 5

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

Affiliated clinicians 11

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

• Mir Basharat Ali, M.D.

  • Cardiovascular Disease Physician
  • Montebello, CA
  • NPI 1295759694

  Home health agency

  Care Compare affiliation
• Anil Gupta, MD

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1538182407

  Home health agency

  Care Compare affiliation
• Raffi Hodikian, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1760633630

  Home health agency

  Care Compare affiliation
• Xavier Jajin Hsieh, DO

  • Family Medicine Physician
  • City of Industry, CA
  • NPI 1073713616

  Home health agency

  Care Compare affiliation
• Sanjay Natverlal Khedia, M.D.

  • Internal Medicine Physician
  • Covina, CA
  • NPI 1326063801

  Home health agency

  Care Compare affiliation
• Krunal Jayantkumar Mehta, M.D.

  • Family Medicine Physician
  • Glendora, CA
  • NPI 1982867602

  Home health agency

  Care Compare affiliation
• Jeffrey Scott Shapiro, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1760588776

  Home health agency

  Care Compare affiliation
• Ekta Sharma, M.D., M.P.H.

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1932527082

  Home health agency

  Care Compare affiliation
• Jerick Tan, NP

  • Gerontology Nurse Practitioner
  • Duarte, CA
  • NPI 1356842843

  Home health agency

  Care Compare affiliation
• Jair Wong, MD

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1972541266

  Home health agency

  Care Compare affiliation
• Jonathan Youssefzadeh, DO

  • Family Medicine Physician
  • Corona, CA
  • NPI 1811415631

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1235194507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917224106",
            "telephone_number": "626-962-7921",
            "fax_number": "626-962-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917224106",
            "telephone_number": "626-962-7921",
            "fax_number": "626-962-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEA HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "ALOJIPAN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DOPCS",
        "authorized_official_telephone_number": "626-962-7921",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Taylor
• Randy Taylor, M.D.
• Susan Ramirez Taylor, COTA
• Tomia Taylor
• Seanglong Te, MD
• Temple Performance Physical Therapy
• Toria Templin
• Eduardo B Teodoro Jr., BSN
• Angelica G Tercero
• Andrea Anita Terrazas

• Home Health Agency in Covina, CA
• Providers in Covina, 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 Nov 21, 2023; 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.