Gandse Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GANDSE HOME HEALTH CARE INC.

Practice address

26302 S. Western Ave.
Suite 4
Lomita, CA 90717-3537

Phone

(310) 344-5924

NPI assigned

Apr 19, 2011

Last updated

Apr 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wahab G Balogun

Title

President/ Ceo

Phone

(310) 344-5924

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265722623. Details of each certification follow.

• CCN 059453 Home health agency · Active · Details

Home health agency certification: CCN 059453

Legal name

GANDSE HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 15, 2012

Last certification

Nov 15, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 10, 2011 in CA

Enrollment address

26302 Western Ave
Ste 4
Lomita, CA 90717-3537

Listed as

Gandse Home Health Care Inc.CCN 059453 · All quality measures

Ownership

Proprietary

Certified

Oct 15, 2012

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 2

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

Owners & managing parties with NPI records 1

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

• Sylvia Nobore, WHNP

  • Women's Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134580889

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvia Nobore, WHNP

  • Women's Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134580889
  NPD

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1265722623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 S. WESTERN AVE.",
            "address_2": "SUITE 4",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173537",
            "telephone_number": "310-344-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 S. WESTERN AVE.",
            "address_2": "SUITE 4",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173537",
            "telephone_number": "310-344-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANDSE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "WAHAB",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "310-344-5924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lomita, CA
• Providers in Lomita, 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 Apr 19, 2011; 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.