Manor Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MANOR HOME HEALTH, INC.

Practice address

9007 Arrow Rte Ste 180-B
Rancho Cucamonga, CA 91730-4400

Phone

(310) 948-6889

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Lulu Aquino, ADMINISTRATOR

Title

Ceo

Phone

(909) 481-7717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559767

Legal name

MANOR HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 17, 2022

Last certification

May 17, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 23, 2020 in CA

Enrollment address

9007 Arrow Rte
Ste 180-B
Rancho Cucamonga, CA 91730-4400

Listed as

Manor Home Health, IncCCN 559767 · All quality measures

Ownership

Proprietary

Certified

May 17, 2022

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 1

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

Affiliated clinicians 2

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

• Anil K Rastogi, MD

  • Cardiovascular Disease Physician
  • Hemet, CA
  • NPI 1659455202

  Home health agency

  Care Compare affiliation
• Tahseen Najma Shareef, MD

  • Internal Medicine Physician
  • Loma Linda, CA
  • NPI 1669491809

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1255939567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 ARROW RTE STE 180",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304459",
            "telephone_number": "909-481-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 ARROW RTE STE 180-B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304400",
            "telephone_number": "310-948-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "LULU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-481-7717",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Manipis, PHARMD
• Erica J Mann
• Jasemeen Mann
• Kathy Mann
• Kylie Mann, DPT
• Vivian Manriquez Chavez
• Monique Quitoriano Manriquez, LCSW
• Adriana Mansour
• Roland J Manurung
• Angelica D Manzo, MA LPCC

• Home Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Oct 21, 2020; 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.