Organization Active NPI

Helenium Home Health Inc

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1306111901
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HELENIUM HOME HEALTH INC
Practice address
1590 Oakland Rd Ste B113
San Jose, CA 95131-2438
Phone
(408) 326-2971
Fax
(408) 326-2057
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Marianne De Guzman
Title
President
Phone
(408) 326-2971

Specialties & licenses 1

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

Addresses

Primary practice location

1590 Oakland Rd Ste B113
San Jose, CA 95131-2438

Mailing address

1590 Oakland Rd Ste B113
San Jose, CA 95131-2438
Phone (408) 326-2971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000452 CA Part A Provider - Home Health Agency 4587827530 Practice locations: San Jose, CA

Home health agency certification: CCN 059696

Legal name
HELENIUM HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2016
Last certification
Feb 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 12, 2011 in CA
Enrollment address
1590 Oakland Rd
Ste B113
San Jose, CA 95131-2438

Care Compare: Home health agency

Medicare Care Compare
Listed as
Helenium Home Health, Inc.CCN 059696
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 24, 2016
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

Locations

1590 Oakland Rd
Ste B113
San Jose, CA 95131
Phone (408) 326-2971

1580 Oakland Rd
Ste C210
San Jose, CA 95131
Phone (408) 326-2971

2060 Walsh Ave
Ste 230
Santa Clara, CA 95050
Phone (888) 664-9948

Ownership & related parties

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.

NameRoleSinceShare
Marianne de Guzman Individual 5% Or Greater Direct Ownership InterestPresident/Ceo/Cfo/Secretary/Owner Apr 8, 2021 100%
Corporate OfficerPresident/Ceo/Cfo/Secretary/Owner Apr 8, 2021 100%
Corporate DirectorBoard Member Apr 8, 2021 100%
Operational/Managerial ControlPresident/Ceo/Cfo/Secretary/Owner Apr 8, 2021 100%
Kristine Bacuno Gomez Individual W-2 Managing EmployeeAd;DPCS Jun 19, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1306111901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 OAKLAND RD STE B113",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312438",
            "telephone_number": "408-326-2971",
            "fax_number": "408-326-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 OAKLAND RD STE B113",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312438",
            "telephone_number": "408-326-2971",
            "fax_number": "408-326-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENIUM HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-326-2971"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.