NPIMap

Organization Active NPI

Assisted Home Recovery, Inc.

Doing business as Assisted Home Care

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1336538495
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000571 Issued in CA
Legal business name
ASSISTED HOME RECOVERY, INC.
Doing business as
Assisted Home Care
Practice address
3731 Wilshire Blvd
Suite 516
Los Angeles, CA 90010-2827
Phone
(213) 381-8310
Fax
(213) 381-8311
NPI assigned
Jan 13, 2015
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Mr. Gerd F Kerswill, CPA
Title
Cfo
Phone
(805) 371-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000571 CA Primary

Addresses

Primary practice location

3731 Wilshire Blvd
Suite 516
Los Angeles, CA 90010-2827

Mailing address

72 Moody Court
Suite 100
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988

Other identifiers 1

IdentifierTypeStateIssuer
HHA08067FMedicaidCA

Other names 1

  • Assisted Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141006000411 CA Part A Provider - Home Health Agency 5092894352 Practice locations: Los Angeles, CA
O20260327002960 CA Part B Supplier - Home Infusion Therapy Supplier 5092894352 Practice locations: Culver City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336538495. Details of each certification follow.

Home health agency certification: CCN 058067

Legal name
ASSISTED HOME RECOVERY, INC.
Doing business as
ASSISTED HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 13, 2001
Last certification
Jan 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 28, 1989 in CA
Enrollment address
3731 Wilshire Blvd 516
Los Angeles, CA 90010-2827

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assisted Home CareCCN 058067 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 13, 2001
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
Assisted Home Recovery Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elaine Denise Shelton Individual 5% Or Greater Direct Ownership InterestPresident Sep 26, 1989 51%
Corporate OfficerPresident Sep 26, 1989 51%
Corporate DirectorPresident Sep 26, 1989 51%
W-2 Managing EmployeeAdm/President Sep 26, 1989 51%
William Donley Individual 5% Or Greater Direct Ownership InterestChairman of the Board Sep 26, 1989 49%
Corporate OfficerChairman of the Board Sep 26, 1989 49%
Corporate DirectorChairman of the Board Sep 26, 1989 49%
W-2 Managing EmployeeChairman of the Board Sep 26, 1989 49%

Practitioners & affiliated clinicians

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1336538495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOODY COURT",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 WILSHIRE BLVD",
            "address_2": "SUITE 516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102827",
            "telephone_number": "213-381-8310",
            "fax_number": "213-381-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "KERSWILL",
        "authorized_official_first_name": "GERD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-371-9988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08067F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assisted Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.