NPIMap

Organization Active NPI

Next Level Home Health LLC

Doing business as Amore Home Health

  • Home Health Agency
  • Fremont, CA
National Provider Identifier
1316298938
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEXT LEVEL HOME HEALTH LLC
Doing business as
Amore Home Health
Practice address
39420 Liberty St Ste 155
Fremont, CA 94538-2284
Phone
(408) 649-2370
NPI assigned
Sep 21, 2012
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Ryan Fernandez
Title
Owner/ Ceo
Phone
(408) 649-2370

Specialties & licenses 1

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

Addresses

Primary practice location

39420 Liberty St Ste 155
Fremont, CA 94538-2284

Mailing address

39420 Liberty St Ste 155
Fremont, CA 94538-2284
Phone (408) 649-2370

Other names 1

  • Amore Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210002129 CA Part A Provider - Home Health Agency 5597198226 Practice locations: Fremont, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316298938. Details of each certification follow.

Home health agency certification: CCN 059509

Legal name
NEXT LEVEL HOME HEALTH LLC
Doing business as
AMORE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 29, 2013
Last certification
May 17, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
39420 Liberty St
Ste 155
Fremont, CA 94538-2284

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amore Home HealthCCN 059509 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 29, 2013
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
Tax ID family
Amore Health Systems Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39420 Liberty St
Ste 155
Fremont, CA 94538
Phone (408) 649-2370

960 Jacklin Rd
Milpitas, CA 95035
Phone (408) 649-2370

Ownership & related parties

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.

NameRoleSinceShare
Kranthi K Achanta Individual 5% Or Greater Direct Ownership Interest Oct 1, 2024 33.3%
Corporate OfficerBoard Member/ Medical Director Oct 1, 2024 33.3%
Prasad G Kilaru Individual 5% Or Greater Indirect Ownership Interest Sep 10, 2019 50%
Corporate OfficerBoard Member/Medical Director Sep 10, 2019 50%
Ryan D Fernandez Individual 5% Or Greater Direct Ownership Interest Oct 1, 2024 33.4%
Corporate OfficerManaging Member, Ceo Oct 1, 2024 33.4%
W-2 Managing Employee Sep 10, 2019 100%
Kilaru Family Trust Organization, Fremont, CA 5% Or Greater Direct Ownership Interest Oct 1, 2024 33.3%
Risha Kilaru Individual 5% Or Greater Indirect Ownership Interest Sep 10, 2019 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 2

DateEventCounterparty
Oct 9, 2019 Change of OwnershipThis provider was the buyer Amore Home HealthCCN 059509, CA, NPI 1316298938
Oct 9, 2019 Change of OwnershipThis provider was the seller Amore Home HealthCCN 059509, CA, NPI 1316298938

Practitioners & affiliated clinicians

Affiliated clinicians 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1316298938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 155",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382284",
            "telephone_number": "408-649-2370",
            "fax_number": "408-649-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 155",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382284",
            "telephone_number": "408-649-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "408-649-2370"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amore Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.