Santa Clarita Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001015 Issued in CA

Legal business name

SANTA CLARITA HOME HEALTH INC.

Practice address

23655 Newhall Ave
Suite a
Santa Clarita, CA 91321-3104

Phone

(661) 222-7889

Fax

(661) 222-7454

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Paul M Derek

Title

Ceo/Administrator

Phone

(661) 222-7889

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557722

Legal name

SANTA CLARITA HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 5, 1996

Last certification

Mar 20, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 8, 2002 in CA

Enrollment address

22620 Market St
Suite 200
Santa Clarita, CA 91321-2933

Listed as

Santa Clarita Home HealthCCN 557722

Ownership

Proprietary

Certified

Sep 5, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Ronald Schwartz, M.D

  • General Practice Physician
  • Santa Clarita, CA
  • NPI 1891895702

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Eldine A Banquerigo, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1851367528

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1346249869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22620 MARKET ST",
            "address_2": "SUITE 200",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913213104",
            "telephone_number": "661-222-7889",
            "fax_number": "661-222-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23655 NEWHALL AVE",
            "address_2": "SUITE A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913213104",
            "telephone_number": "661-222-7889",
            "fax_number": "661-222-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "DEREK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "661-222-7889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57722F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Sangren
• Santa Clarita Community College District
• Santa Clarita Community College District
• Santa Clarita Congregate Living Inc.
• Santa Clarita Dialysis, LLC
• Santa Clarita Radiotherapy Medical Group
• Santa Clarita Surgery Center LP
• Catherine Santizo, PA
• Avann Santos
• Avrine Beltran Santos

• Home Health Agency in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.

Verify at the official NPI Registry.