Organization Active NPI

Origins Home Healthcare Plus Inc

  • Home Health Agency
  • Anaheim, CA
National Provider Identifier
1356807820
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 14, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 757665 · All quality measures
Ownership
-
Certified
Jun 13, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Juanita Shirley V Tanuyan Individual 5% Or Greater Direct Ownership Interest May 28, 2021 50%
Corporate OfficerPresident Jan 31, 2019
W-2 Managing EmployeePresident Jan 31, 2019
Hermogines a Tanuyan Individual 5% Or Greater Direct Ownership Interest Jan 31, 2019 50%
Corporate OfficerVice President Jan 31, 2019
W-2 Managing EmployeeVice President 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

Verify at the official NPI Registry.