Active NPI
Purpose Driven Home Health, LLC
- Home Health Agency
- Bakersfield, CA
National Provider Identifier
1336484419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PURPOSE DRIVEN HOME HEALTH, LLC
- Practice address
- 3204 21St St
Bakersfield, CA 93301-3117 - Phone
- (661) 412-9730
- Fax
- (661) 412-9731
- NPI assigned
- Nov 30, 2012
- Last updated
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evelyn Ching
- Title
- President
- Phone
- (661) 412-9730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3204 21St St
Bakersfield, CA 93301-3117
Mailing address
3204 21St St
Bakersfield, CA 93301-3117
Phone (661) 412-9730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130227000356 | CA | Part A Provider - Home Health Agency | 5193970945 | Practice locations: Bakersfield, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336484419. Details of each certification follow.
Home health agency certification: CCN 059545
- Legal name
- PURPOSE DRIVEN HOME HEALTH, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 15, 2013
- Last certification
- Jun 28, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 28, 2012 in CA
- Enrollment address
- 3204 21St St
Bakersfield, CA 93301-3117
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Purpose Driven Home Health, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 15, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2116 24th St
Ste 1
Bakersfield, CA 93301
Phone (661) 412-9730
2120 24th St
Ste 5
Bakersfield, CA 93301
Phone (661) 331-6778
3204 21st St
Bakersfield, CA 93301
Phone (661) 412-9730
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Katrinna Nicole U Ching-Altavas | 5% Or Greater Direct Ownership Interest | Feb 19, 2013 | 40% |
| Corporate Officer | Nov 28, 2012 | 40% | |
| Glenn U Ching | 5% Or Greater Direct Ownership Interest | Feb 19, 2013 | 20% |
| Evelyn U Ching | 5% Or Greater Direct Ownership Interest | Feb 19, 2013 | 40% |
| W-2 Managing Employee | Feb 19, 2013 | 40% |
Practitioners & affiliated clinicians
Affiliated clinicians 84
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1649680471
Home health agency
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1720040793
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591315200000",
"number": "1336484419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 21ST ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013117",
"telephone_number": "661-412-9730",
"fax_number": "661-412-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 21ST ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013117",
"telephone_number": "661-412-9730",
"fax_number": "661-412-9731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURPOSE DRIVEN HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-30",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A",
"authorized_official_last_name": "CHING",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-412-9730"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
- Pure Ability Medicine & Rehabilitation, a Medical Corporation
- Sarabjit S. Purewal, M.D.
- Purity Health Vascular PC
- Purpose Align
- Purpose Driven Healthcare (Purpose Driven Home Health)
- Purpose Driven Hospice, LLC
- Purposeful Mobility LLC
- Purposeful Residential Care, LLC (Purposeful Residential Care: Erie Place)
- Purposepath Transport LLC (Kern Medical Transport)
- Marilyn Purugganan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.