Organization Active NPI

Compliance Home Health Care Services, Inc.

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1235743683
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPLIANCE HOME HEALTH CARE SERVICES, INC.
Practice address
2130 N Arrowhead Ave Ste C
San Bernardino, CA 92405-4029
Phone
(818) 428-5687
Fax
(909) 713-2122
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Julieta Antonio, RN
Title
DPCS
Phone
(818) 428-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2130 N Arrowhead Ave Ste C
San Bernardino, CA 92405-4029

Mailing address

2130 N Arrowhead Ave Ste C
San Bernardino, CA 92405-4029
Phone (818) 428-5687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122001409 CA Part A Provider - Home Health Agency 3173975521 Practice locations: San Bernardino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235743683. Details of each certification follow.

Home health agency certification: CCN 757771

Legal name
COMPLIANCE HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 9, 2024
Last certification
Apr 25, 2024
Organization structure
CorporationProprietary
Enrollment address
2130 N Arrowhead Ave
Ste 202a
San Bernardino, CA 92405-4029

Care Compare: Home health agency

Medicare Care Compare
Listed as
Compliance Home Health Care Services, Inc.CCN 757771 · All quality measures
Overall star rating
4.5 of 5
Ownership
-
Certified
May 9, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2305143Compliance Home Health Care Services, Inc2130 N Arrowhead Ave, Suite 202a, San Bernardino, CA 92405Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

2130 N Arrowhead Ave
Ste 202A
San Bernardino, CA 92405
Phone (661) 426-3140

2130 N Arrowhead Ave
Ste C
San Bernardino, CA 92405
Phone (818) 428-5687

Ownership & related parties

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.

NameRoleSinceShare
Rodellio Amante Individual 5% Or Greater Direct Ownership Interest Dec 23, 2019 100%
Corporate OfficerCeo/President Dec 23, 2019 100%
Corporate DirectorCeo/President Dec 23, 2019 100%
Charity Amante Individual W-2 Managing EmployeeFinance Manager Jan 1, 2024 80%
Imelda a Lorenzo Individual W-2 Managing EmployeeExecutive Assistant Jan 1, 2024 85%

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": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1235743683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 N ARROWHEAD AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054029",
            "telephone_number": "818-428-5687",
            "fax_number": "909-713-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 N ARROWHEAD AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054029",
            "telephone_number": "818-428-5687",
            "fax_number": "909-713-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLIANCE HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_title_or_position": "DPCS",
        "authorized_official_telephone_number": "818-428-5687",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.