DSP Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DSP HOME HEALTH, INC.

Practice address

1815 E Workman Ave
Suite D
West Covina, CA 91791-1423

Phone

(626) 331-2265

Fax

(626) 331-7135

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maricon Padua Parducho

Title

Administrator

Phone

(626) 331-2265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058053

Legal name

DSP HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 25, 2000

Last certification

Sep 21, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 3, 1998 in CA

Enrollment address

1815 E Workman Ave
Ste D
West Covina, CA 91791-1423
HHA Branch

Listed as

DSP Home Health IncCCN 058053 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Feb 25, 2000

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 5

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.

• Nadim Dagher, M.D

  • Specialist
  • Westminster, CA
  • NPI 1053531467

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Nadim Dagher, M.D

  • Specialist
  • Westminster, CA
  • NPI 1053531467

  Home health agency

  Care Compare affiliation
• Rodolfo Perez Jr., FNP

  • Family Nurse Practitioner
  • Montclair, CA
  • NPI 1134557648

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275679946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E WORKMAN AVE",
            "address_2": "SUITE D",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911423",
            "telephone_number": "626-331-2265",
            "fax_number": "626-331-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E WORKMAN AVE",
            "address_2": "SUITE D",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911423",
            "telephone_number": "626-331-2265",
            "fax_number": "626-331-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSP HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARDUCHO",
        "authorized_official_first_name": "MARICON",
        "authorized_official_middle_name": "PADUA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-331-2265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Jean Drozd
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• Ann Du, PAC
• Michael Du
• Nancy Du
• Erandi Duarte, COTA/L
• Melissa Dubriel

• Home Health Agency in West Covina, CA
• Providers in West Covina, 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 Aug 22, 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.