Active NPI
Chelsea's Home Health Care, Inc.
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1346429594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001407
- Legal business name
- CHELSEA'S HOME HEALTH CARE, INC.
- Practice address
- 1925 W Temple St
211
Los Angeles, CA 90026 - Phone
- (213) 484-8908
- Fax
- (213) 484-8945
- NPI assigned
- Oct 24, 2007
- 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
- Miss Shirley Soriano
- Title
- Ceo
- Phone
- (213) 484-8908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001407 | CA | Primary |
Addresses
Primary practice location
1925 W Temple St
211
Los Angeles, CA 90026
Mailing address
1925 W Temple St
211
Los Angeles, CA 90026
Phone (213) 484-8908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080328000750 | CA | Part A Provider - Home Health Agency | 1850477910 | Practice locations: Los Angeles, CA |
Home health agency certification: CCN 059100
- Legal name
- CHELSEAS HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 9, 2009
- Last certification
- Feb 3, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 3580 Wilshire Blvd
Ste 510
Los Angeles, CA 90010-2502
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Chelsea's Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Feb 9, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1925 W Temple St
Ste 211
Los Angeles, CA 90026
Phone (213) 484-8908
3550 Wilshire Blvd
Ste 905
Los Angeles, CA 90010
Phone (818) 308-3823
3580 Wilshire Blvd
Ste 510
Los Angeles, CA 90010
Phone (818) 308-3823
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Noel Caluag | 5% Or Greater Direct Ownership Interest | Jan 8, 2018 | 25% |
| Corporate Officer | Jan 8, 2018 | 25% | |
| Corporate Director | Jan 8, 2018 | 25% | |
| Angie Gastelum | Operational/Managerial Control | Dec 12, 2013 | |
| Yaphet Legesse | 5% Or Greater Direct Ownership Interest | Jan 8, 2018 | 50% |
| Corporate Officer | Jan 8, 2018 | 50% | |
| Corporate Director | Jan 8, 2018 | 50% | |
| W-2 Managing Employee | Jan 8, 2018 | 50% | |
| Arlene D Guerrero | 5% Or Greater Direct Ownership Interest | Jan 8, 2018 | 25% |
| Corporate Officer | Jan 8, 2018 | 25% | |
| Corporate Director | Jan 8, 2018 | 25% | |
| W-2 Managing Employee | Jan 8, 2018 | 25% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268870400000",
"number": "1346429594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 W TEMPLE ST",
"address_2": "211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-484-8908",
"fax_number": "213-484-8945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 W TEMPLE ST",
"address_2": "211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "213-484-8908",
"fax_number": "213-484-8945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELSEA'S HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2010-03-18",
"status": "A",
"authorized_official_last_name": "SORIANO",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-484-8908",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Sanda Chelliah, M.D.
- Sai Sukruta Chelluri
- Chelsea Home Care, Inc
- Chelsea Sarai, PSYD & Associates, a Psychological Coproration (Brentwood Therapy Collective)
- Tyler Dominic Chelsea, RN
- Vera Elizabeth Chelyapov, LMFT
- Kari Lynn Chemeleski, M.A.
- Marc Chemla, D.D.S.
- Daniel Chen Vernon
- Victoria Chen-Espinoza, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.