Good Hope Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000641 Issued in CA

Legal business name

GOOD HOPE HOME HEALTH CARE INC

Practice address

484 E Foothill Blvd
Upland, CA 91786-9904

Phone

(909) 920-6700

Fax

(909) 920-6705

NPI assigned

Nov 29, 2005

Last updated

Jun 1, 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

Mrs. Comfort Alilionwu, RN, BSN

Title

Administrator

Phone

(909) 920-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285618736. Details of each certification follow.

• CCN 557716 Home health agency · Active · Details

Home health agency certification: CCN 557716

Legal name

GOOD HOPE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 5, 1996

Last certification

Jun 2, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 26, 1996 in CA

Enrollment address

484E Foothill Blvd
Upland, CA 91786-3953

Listed as

Good Hope Home HealthCCN 557716 · All quality measures

Ownership

Proprietary

Certified

Jun 5, 1996

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 3

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.

• Michael Chai, M.D.

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1083748727

  Contracted Managing Employee

  CMS ownership

Practitioners 2

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.

• Yulionas Gayauskas, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1487668836
  NPD (past)
• Justina Ozioma Obi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
  • NPI 1801493671
  NPD (past)

Affiliated clinicians 2

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

• Michael Chai, M.D.

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1083748727

  Home health agency

  Care Compare affiliation
• Sarah Sam Olelewe, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hawthorne, CA
  • NPI 1689754665

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1285618736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917869904",
            "telephone_number": "909-920-6700",
            "fax_number": "909-920-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917869904",
            "telephone_number": "909-920-6700",
            "fax_number": "909-920-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HOPE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "ALILIONWU",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-920-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57716F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria J Gonzalez
• Therese Marie Gonzalez, M.S., MFT INTERN
• Tina Matilde Gonzalez
• Good Habits Education LLC
• Good Hands Acupuncture Upland, Inc.
• Good Shepherd Hospice, LLC
• Marieanne Goodwin, DC
• Lyric N Goosby, DOULA
• Robert B Gordon, MD
• Wallace George Gosney, M.D.

• Home Health Agency in Upland, CA
• Providers in Upland, 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 Jun 1, 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.