Care Dimensions LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000329 Issued in CA

Legal business name

CARE DIMENSIONS LLC

Practice address

2025 N Glenoaks Blvd.
Suite 102
Burbank, CA 91504-2832

Phone

(818) 319-3477

Fax

(818) 736-9100

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Lauren Phan

Title

Managing Member of the LLC

Phone

(714) 619-8766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Care Dimensions Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356511307. Details of each certification follow.

• CCN 058470 Home health agency · Terminated · Details

Home health agency certification: CCN 058470

Legal name

CARE DIMENSIONS LLC

Certification status

Terminated Voluntary: merger or closure, Mar 20, 2017

Provider type (POS)

Home health agency

Participating since

Apr 3, 2008

Last certification

Mar 21, 2017

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 8, 2005 in CA

Enrollment address

155 N Lake Ave
Ste 884
Pasadena, CA 91101-1848

Other NPIs with the same Medicare PAC ID 1

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

• Care Dimensions LLC

  • Home Health Agency
  • Huntington Beach, CA
  • NPI 1629023056

  6406868074

  Same PAC ID

Tax ID family

Care Dimensions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Care Dimensions LLC

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1073871620
  NPD tax ID
• Care Dimensions LLC

  • Home Health Agency
  • Huntington Beach, CA
  • NPI 1629023056
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Gallano Ombao, NP-C

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1275870628
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1356511307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W SUNFLOWER AVE.",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046948",
            "telephone_number": "714-619-8766",
            "fax_number": "714-619-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N GLENOAKS BLVD.",
            "address_2": "SUITE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042832",
            "telephone_number": "818-319-3477",
            "fax_number": "818-736-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIMENSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING MEMBER OF THE LLC",
        "authorized_official_telephone_number": "714-619-8766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "550000329",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Dimensions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 Mar 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.