Active NPI
All Heart Home Health Care of Camarillo LLC
- Home Health Agency
- Camarillo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALL HEART HOME HEALTH CARE OF CAMARILLO LLC
- Practice address
- 400 Mobil Ave
Suite A1
Camarillo, CA 93010-6338 - Phone
- (805) 482-8689
- Fax
- (805) 322-3565
- NPI assigned
- Nov 25, 2012
- Last updated
- Nov 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Maduro, RN
- Title
- Owner
- Phone
- (805) 482-8689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
400 Mobil Ave
Suite A1
Camarillo, CA 93010-6338
Mailing address
400 Mobil Ave
Suite A1
Camarillo, CA 93010-6338
Phone (805) 482-8689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170601000589 | CA | Part A Provider - Home Health Agency | 0446402788 | Practice locations: Camarillo, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235473604. Details of each certification follow.
Home health agency certification: CCN 059759
- Legal name
- ALL HEART HOME HEALTH CARE OF CAMARILLO, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 13, 2016
- Last certification
- Feb 25, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- May 12, 2013 in CA
- Enrollment address
- 4000 Calle Tecate
Ste 109
Camarillo, CA 93012-5284
Care Compare: Home health agency
Medicare Care Compare- Listed as
- All Heart Home Health Care of Camarillo
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 13, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2122162 | All Heart Home Health Care of Camarillo | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
400 Mobil Ave
Ste A1
Camarillo, CA 93010
Phone (805) 482-8689
400 Mobil Ave
Ste A1A
Camarillo, CA 93010
Phone (805) 482-8689
4000 Calle Tecate
Ste 109
Camarillo, CA 93012
Phone (805) 482-8689
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Molly J Maduro | 5% Or Greater Direct Ownership Interest | Aug 13, 2012 | 50% |
| Corporate Officer | Aug 13, 2012 | 50% | |
| W-2 Managing Employee | Aug 13, 2012 | 50% | |
| Mark S Maduro | 5% Or Greater Direct Ownership Interest | Aug 13, 2012 | 50% |
| Corporate Officer | Aug 13, 2012 | 50% | |
| W-2 Managing Employee | Aug 13, 2012 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Thousand Oaks, CA
- NPI 1245296250
Home health agency
-
- Family Medicine Physician
- Ventura, CA
- NPI 1184894925
Home health agency
-
- Geriatric Medicine (Family Medicine) Physician
- Gallup, NM
- NPI 1841482809
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353801600000",
"number": "1235473604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MOBIL AVE",
"address_2": "SUITE A1",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930106338",
"telephone_number": "805-482-8689",
"fax_number": "805-322-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MOBIL AVE",
"address_2": "SUITE A1",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930106338",
"telephone_number": "805-482-8689",
"fax_number": "805-322-3565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL HEART HOME HEALTH CARE OF CAMARILLO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-25",
"last_updated": "2012-11-25",
"status": "A",
"authorized_official_last_name": "MADURO",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-482-8689",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2012; 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.