Organization Active NPI

All Heart Home Health Care of Camarillo LLC

  • Home Health Agency
  • Camarillo, CA
National Provider Identifier
1235473604
Registry record updated Nov 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
May 12, 2013 in CA
Enrollment address
4000 Calle Tecate
Ste 109
Camarillo, CA 93012-5284
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
All Heart Home Health Care of CamarilloCCN 059759 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 13, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2122162All Heart Home Health Care of Camarillo4000 Calle Tecate, Ste 109, Camarillo, CA 93012Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Molly J Maduro Individual 5% Or Greater Direct Ownership InterestDopcs/Member Aug 13, 2012 50%
Corporate OfficerDopcs/Member Aug 13, 2012 50%
W-2 Managing EmployeeDopcs/Member Aug 13, 2012 50%
Mark S Maduro Individual 5% Or Greater Direct Ownership InterestAdministrator Aug 13, 2012 50%
Corporate OfficerAdministrator/Director Aug 13, 2012 50%
W-2 Managing EmployeeAdministrator/Director Aug 13, 2012 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

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

Verify at the official NPI Registry.