NPIMap

Organization Active NPI

Affection Home Health Inc

  • Home Health Agency
  • Manhattan Beach, CA
National Provider Identifier
1295317162
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AFFECTION HOME HEALTH INC
Practice address
1112 Ocean Dr Ste 102a
Manhattan Beach, CA 90266-5448
Phone
(310) 854-9360
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Phyllis Mungai, RN/ BSN/ PHN
Title
President/
Phone
(310) 854-9360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1112 Ocean Dr Ste 102a
Manhattan Beach, CA 90266-5448

Mailing address

1112 Ocean Dr Ste 102a
Manhattan Beach, CA 90266-5448
Phone (310) 854-9360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210814000004 CA Part A Provider - Home Health Agency 9234533191 Practice locations: Manhattan Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295317162. Details of each certification follow.

Home health agency certification: CCN 757162

Legal name
AFFECTION HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 7, 2023
Last certification
Dec 20, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 3, 2021 in CA
Enrollment address
1112 Ocean Dr
Ste 102a
Manhattan Beach, CA 90266-5448

Care Compare: Home health agency

Medicare Care Compare
Listed as
Affection Home Health IncCCN 757162 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Jan 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2257710Affection Home Health Inc1112 Ocean Drive Suite Ste 201, Manhattan Beach, CA 90266Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

1112 Ocean Dr
Ste 102A
Manhattan Beach, CA 90266
Phone (310) 307-5750

Ownership & related parties

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.

NameRoleSinceShare
Phyllis N Mungai Individual 5% Or Greater Direct Ownership Interest Mar 3, 2021 100%
Corporate OfficerCeo,Cfo,Secretary,Board Member Mar 3, 2021
Corporate DirectorDirector of Patient Care Service Mar 3, 2021
W-2 Managing EmployeeAdministrator, Director of Patie Mar 3, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1295317162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 OCEAN DR STE 102A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665448",
            "telephone_number": "310-854-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 OCEAN DR STE 102A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665448",
            "telephone_number": "310-854-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTION HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "MUNGAI",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT/",
        "authorized_official_telephone_number": "310-854-9360",
        "authorized_official_credential": "RN/ BSN/ PHN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.