Active NPI
Origins Home Healthcare Plus Inc
- Home Health Agency
- Anaheim, CA
National Provider Identifier
1356807820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ORIGINS HOME HEALTHCARE PLUS INC
- Practice address
- 137 1/2 S Knott Ave
Anaheim, CA 92804-1406 - Phone
- (657) 371-5018
- Fax
- (657) 202-1088
- NPI assigned
- Feb 20, 2019
- 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
- Juanita Shirley Villegas Tanuyan, CEO
- Title
- President
- Phone
- (657) 371-5018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
137 1/2 S Knott Ave
Anaheim, CA 92804-1406
Mailing address
PO Box 224
Cypress, CA 90630-0224
Phone (657) 371-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210504000009 | CA | Part A Provider - Home Health Agency | 4183033178 | Practice locations: Buena Park, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1356807820. Details of each certification follow.
Home health agency certification: CCN 757665
- Legal name
- ORIGINS HOME HEALTHCARE PLUS INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 13, 2024
- Last certification
- Jun 5, 2024
- Organization structure
- Corporation
- Enrollment address
- 7242 Orangethorpe Ave
Ste B
Buena Park, CA 90621-3320
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Origins Home Health Care Plus Inc.
- Ownership
- -
- Certified
- Jun 13, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
7242 Orangethorpe Ave
Ste A
Buena Park, CA 90621
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Juanita Shirley V Tanuyan | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 50% |
| Corporate Officer | Jan 31, 2019 | ||
| W-2 Managing Employee | Jan 31, 2019 | ||
| Hermogines a Tanuyan | 5% Or Greater Direct Ownership Interest | Jan 31, 2019 | 50% |
| Corporate Officer | Jan 31, 2019 | ||
| W-2 Managing Employee | Jan 31, 2019 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1356807820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906300224",
"telephone_number": "657-371-5018",
"fax_number": "657-202-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 1/2 S KNOTT AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041406",
"telephone_number": "657-371-5018",
"fax_number": "657-202-1088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGINS HOME HEALTHCARE PLUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "TANUYAN",
"authorized_official_first_name": "JUANITA SHIRLEY",
"authorized_official_middle_name": "VILLEGAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "657-371-5018",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.