Organization Active NPI

Patients First Home Health Agency, Inc.

  • Home Health Agency
  • Torrance, CA
National Provider Identifier
1336355106
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATIENTS FIRST HOME HEALTH AGENCY, INC.
Practice address
23210 Crenshaw Blvd
Suite 200
Torrance, CA 90505-3146
Phone
(310) 534-8689
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ernamarie Sy
Title
President
Phone
(310) 534-8689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

23210 Crenshaw Blvd
Suite 200
Torrance, CA 90505-3146

Mailing address

6164 Aldama St
Number 2
Los Angeles, CA 90042-2646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000664 CA Part A Provider - Home Health Agency 2163416454 Practice locations: Torrance, CA

Home health agency certification: CCN 058406

Legal name
PATIENTS FIRST HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 22, 2007
Last certification
Jul 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 2, 2006 in CA
Enrollment address
23210 Crenshaw Blvd 200
Torrance, CA 90505-3188
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Patients First Home Health Agency, IncCCN 058406
Ownership
Proprietary
Certified
Aug 22, 2007
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

23210 Crenshaw Blvd
Ste 200
Torrance, CA 90505
Phone (310) 534-8689

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
Metasebia Yimer Individual 5% Or Greater Direct Ownership InterestOwner Feb 24, 2012 100%
Corporate OfficerCeo Feb 14, 2012 100%
Corporate DirectorCeo Feb 14, 2012 100%
W-2 Managing EmployeeCeo Feb 14, 2012 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336355106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 ALDAMA ST",
            "address_2": "NUMBER 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23210 CRENSHAW BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053146",
            "telephone_number": "310-534-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "ERNAMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-534-8689",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.