NPIMap

Organization Active NPI

Ameriprime Healthcare Inc.

Doing business as Ameriprime Home Health Care

  • Home Health Agency
  • Tracy, CA
National Provider Identifier
1356014450
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERIPRIME HEALTHCARE INC.
Doing business as
Ameriprime Home Health Care
Practice address
324 E 11TH St Ste E1A
Tracy, CA 95376-4071
Phone
(209) 221-0741
Fax
(209) 229-1091
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Pankti Himanshu Patel
Title
President
Phone
(209) 221-0741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

324 E 11TH St Ste E1A
Tracy, CA 95376-4071

Mailing address

324 E 11TH St Ste E1A
Tracy, CA 95376-4071
Phone (209) 221-0741

Other names 1

  • Ameriprime Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210917002237 CA Part A Provider - Home Health Agency 7214334358 Practice locations: Tracy, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356014450. Details of each certification follow.

Home health agency certification: CCN 757096

Legal name
AMERIPRIME HEALTHCARE INC
Doing business as
AMERIPRIME HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 22, 2022
Last certification
Nov 16, 2022
Organization structure
CorporationProprietary
Incorporated
Jul 16, 2021 in CA
Enrollment address
324 E 11TH St
Ste E1A
Tracy, CA 95376-4071

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ameriprime Home Health CareCCN 757096 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Nov 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2267485Ameriprime Home Health Care324 E 11TH Street Ste E1A, Tracy, CA 95376Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ameriprime Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

324 E 11th St
Ste E1A
Tracy, CA 95376
Phone (209) 221-0741

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
Abhishek Khare Individual 5% Or Greater Direct Ownership InterestGoverning Body Member Aug 23, 2021 50%
Corporate OfficerGoverning Body Member Aug 23, 2021 50%
Corporate DirectorGoverning Body Member Aug 23, 2021 50%
W-2 Managing EmployeeGoverning Body Member/BM Aug 23, 2021 50%
Operational/Managerial ControlGoverning Body Member Aug 23, 2021 50%
Pankti H Patel Individual 5% Or Greater Direct Ownership Interest Aug 23, 2021 50%
Corporate OfficerAdministrator/President Aug 23, 2021 100%
Corporate DirectorAdministrator/President Aug 23, 2021 100%
W-2 Managing EmployeeAdministrator/President Aug 23, 2021 100%
Operational/Managerial ControlAdministrator/President Aug 23, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1356014450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST STE E1A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764071",
            "telephone_number": "209-221-0741",
            "fax_number": "209-229-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST STE E1A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764071",
            "telephone_number": "209-221-0741",
            "fax_number": "209-229-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPRIME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PANKTI",
        "authorized_official_middle_name": "HIMANSHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-221-0741"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameriprime Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.