Purpose Driven Home Health, LLC
Organization Active NPI Home Health Agency · Bakersfield, CA
NPI 1336484419 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1336484419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- 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
- Organization subpart
- No
Authorized official
- Name
- Evelyn Ching
- Title
- President
- Phone
- (661) 412-9730
Affiliated clinicians 84
-
Mushtaq Ahmed, MD
-
Syed Alam, M.D.
-
Ramy Alnahhal, M.D.
-
Carlos A Alvarez, MD
-
Francis Arenas, M.D
-
Ararat Andre Avetisyan, M.D.
-
Ingy N Ayad, MD
-
William F. Baker Jr., M.D.
-
Jason D. Beck, M. D.
-
Manick Bhardwaj, M.D.
-
William N. Bichai, M.D.
-
Harjeet S Brar, M.D.
-
Anna Smitha Cheriyan, M.D.
-
Ronnie Claiborne, M.D.
-
Steffi L D'Souza, M.D.
-
Jose Alvarez De la Llana, M.D.
-
Chris Michael Fadeff, M.D.
-
William Farr Sr., M.D.
-
Gary Arlyn Finstad, M.D.
-
Gohar Gevorgyan, M.D.
-
Bahareh Ghafarizadeh, M.D
Medicare Care Compare: Home health agency
- Listed as
- Purpose Driven Home Health, LLC
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Aug 15, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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 · Proprietary
- Incorporated
- Nov 28, 2012 in CA
- Enrollment address
- 3204 21St St
Bakersfield, CA 93301-3117
All disclosed owners & managing parties 3
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130227000356 | CA | Part a Provider - Home Health Agency | 5193970945 | Practice locations: Bakersfield, CA |
National Provider Directory
Locations
3204 21st St
Bakersfield, CA 93301
Phone (661) 412-9730
2116 24th St
Ste 1
Bakersfield, CA 93301
Phone (661) 412-9730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
3204 21St St
Bakersfield, CA 93301-3117
Mailing address
3204 21St St
Bakersfield, CA 93301-3117
Phone (661) 412-9730
Other providers in Bakersfield, CA
- Pure Ability Medicine & Rehabilitation, a Medical Corporation
- Sarabjit S. Purewal
- Purity Health Vascular PC
- Purpose Align
- Purpose Driven Healthcare
- Purpose Driven Hospice, LLC
- Purposeful Mobility LLC
- Purposeful Residential Care, LLC
- Purposepath Transport LLC
- Marilyn Purugganan
All providers in Bakersfield, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.