Organization Active NPI

Personalized Home Health Care

  • Home Health Agency
  • Winnetka, CA
National Provider Identifier
1255924429
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONALIZED HOME HEALTH CARE
Doing business as
Personalized Home Health Care
Practice address
20061 Saticoy St Ste 202
Winnetka, CA 91306-2694
Phone
(747) 244-5487
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Ritche Joaquin Macias, RN
Title
Ceo
Phone
(747) 244-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20061 Saticoy St Ste 202
Winnetka, CA 91306-2694

Mailing address

20061 Saticoy St Ste 202
Winnetka, CA 91306-2694
Phone (747) 244-5487

Other names 1

  • Personalized Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210406001942 CA Part A Provider - Home Health Agency 5496162687 Practice locations: Winnetka, CA

Home health agency certification: CCN 753130

Legal name
PERSONALIZED HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 26, 2022
Last certification
Jul 14, 2022
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2021 in CA
Enrollment address
20061 Saticoy St
Ste 202
Winnetka, CA 91306-2694

Care Compare: Home health agency

Medicare Care Compare
Listed as
Personalized Home Health CareCCN 753130 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Jul 26, 2022
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
05D2266560Personalized Home Health Care, Inc20061 Saticoy Street, Suite 202, Winnetka, CA 91306Certificate of waiverAug 10, 2026

National Provider Directory

National Provider Directory

Locations

20061 Saticoy St
Ste 202
Winnetka, CA 91306
Phone (747) 244-5487

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
Ritche Joaquin Macias Individual 5% Or Greater Direct Ownership InterestAdministrator/DPCS Jan 1, 2021 100%
Corporate OfficerChief Executive Officer Jan 1, 2021 100%
W-2 Managing EmployeeAdministrator/DPCS Jan 1, 2021 100%
Operational/Managerial ControlAdministrator/DPCS Jan 1, 2021 100%
Daisy Mae Ang Individual Corporate OfficerSecretary Jan 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1255924429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20061 SATICOY ST STE 202",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062694",
            "telephone_number": "747-244-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20061 SATICOY ST STE 202",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062694",
            "telephone_number": "747-244-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "RITCHE JOAQUIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-244-5487",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

Verify at the official NPI Registry.