Organization Active NPI

Maximum Care Providers, Inc

  • Home Health Agency
  • Arcadia, CA
National Provider Identifier
1316114689
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAXIMUM CARE PROVIDERS, INC
Practice address
55 East Huntington Drive Suite 320
Arcadia, CA 91006-3228
Phone
(626) 447-2100
Fax
(626) 447-2105
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Abraham Reyes Antenor
Title
President/Ceo
Phone
(626) 447-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

55 East Huntington Drive Suite 320
Arcadia, CA 91006-3228

Mailing address

55 East Huntington Drive Suite 320
Arcadia, CA 91006-3228
Phone (626) 447-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000893 CA Part A Provider - Home Health Agency 9931278678 Practice locations: Arcadia, CA

Home health agency certification: CCN 059105

Legal name
MAXIMUM CARE PROVIDERS, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 8, 2009
Last certification
Aug 17, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 11, 2008 in CA
Enrollment address
55E Huntington Dr 320
Arcadia, CA 91006-3228

Care Compare: Home health agency

Medicare Care Compare
Listed as
Maximum Care Providers, IncCCN 059105 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 8, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1083044Maximum Care Providers, Inc55 E Huntington Dr Ste 320, Arcadia, CA 91006Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

55 E Huntington Dr
Ste 320
Arcadia, CA 91006
Phone (626) 447-2100

1180 Durfee Ave
Ste 200
South El Monte, CA 91733
Phone (626) 452-8051

1180 Durfee Ave
South El Monte, CA 91733

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
Catherine G Berroya Individual W-2 Managing EmployeeDPCS/Administrator Apr 1, 2008
Juanita Antenor Individual W-2 Managing EmployeeVice President/Cfo Mar 17, 2008
Abraham R Antenor Individual 5% Or Greater Direct Ownership Interest Mar 17, 2008 100%
Corporate OfficerPresident Mar 17, 2008 100%
Corporate DirectorPresident Mar 17, 2008 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1316114689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EAST HUNTINGTON DRIVE SUITE 320",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063228",
            "telephone_number": "626-447-2100",
            "fax_number": "626-447-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 EAST HUNTINGTON DRIVE SUITE 320",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063228",
            "telephone_number": "626-447-2100",
            "fax_number": "626-447-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM CARE PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "ANTENOR",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-447-2100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.