NPIMap

Organization Active NPI

Assisted Home Recovery, Inc.

Doing business as Assisted Home Care

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1265933667
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001056 Issued in CA
Legal business name
ASSISTED HOME RECOVERY, INC.
Doing business as
Assisted Home Care
Practice address
1126 N Grand Ave Ste 205
Covina, CA 91724-1549
Phone
(626) 974-9720
Fax
(626) 915-6457
NPI assigned
Feb 22, 2018
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Teresa Aulestia
Title
Administrator
Phone
(805) 371-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001056 CA Primary

Addresses

Primary practice location

1126 N Grand Ave Ste 205
Covina, CA 91724-1549

Mailing address

72 Moody CT
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988

Other names 1

  • Assisted Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180329002185 CA Part A Provider - Home Health Agency 5092894352 Practice locations: Covina, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265933667. Details of each certification follow.

Home health agency certification: CCN 557784

Legal name
ASSISTED HOME RECOVERY, INC.
Doing business as
ASSISTED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 13, 1997
Last certification
Mar 15, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 26, 1989 in CA
Enrollment address
1126 N Grand Ave
Ste 205
Covina, CA 91724-1551

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assisted Home HealthCCN 557784 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 13, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Assisted Home Recovery Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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
Marcella Lines Individual W-2 Managing Employee May 4, 2015 90%
Elaine Denise Shelton Individual 5% Or Greater Direct Ownership Interest Sep 26, 1989 51%
Corporate OfficerPresident Sep 26, 1989 51%
Corporate DirectorPresident Sep 26, 1989 51%
W-2 Managing EmployeeAdministrator / President Sep 26, 1989 51%
William Donley Individual 5% Or Greater Direct Ownership Interest Sep 26, 1989 49%
Corporate OfficerChairman of the Board Sep 26, 1989 49%
Corporate DirectorChairman of the Board Sep 26, 1989 49%
W-2 Managing EmployeeChairman of the Board Sep 26, 1989 40%

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2018 Change of OwnershipThis provider was the buyer Assisted Healthcare ServicesCCN 557784, CA, NPI 1992752273

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1265933667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOODY CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N GRAND AVE STE 205",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241549",
            "telephone_number": "626-974-9720",
            "fax_number": "626-915-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "AULESTIA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-371-9980"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.