Organization Active NPI

American Empire Home Health Care Services, Inc

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1366486581
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001315 Issued in CA
Legal business name
AMERICAN EMPIRE HOME HEALTH CARE SERVICES, INC
Practice address
905 S Glendora Ave Ste a
West Covina, CA 91790-4205
Phone
(626) 732-6542
Fax
(626) 732-6543
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Rodolfo Asuncion Zamora
Title
Chief Operating Officer
Phone
(626) 732-6542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001315 CA Primary

Addresses

Primary practice location

905 S Glendora Ave Ste a
West Covina, CA 91790-4205

Mailing address

905 S Glendora Ave Ste a
West Covina, CA 91790-4205
Phone (626) 732-6542

Other identifiers 1

IdentifierTypeStateIssuer
HHA08064GMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050830001034 CA Part A Provider - Home Health Agency 3971534843 Practice locations: West Covina, CA

Home health agency certification: CCN 058064

Legal name
AMERICAN EMPIRE HOME HEALTH CARE SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 8, 2001
Last certification
Apr 12, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 4, 2000 in CA
Enrollment address
2934 E Garvey Ave S
Ste 214
West Covina, CA 91791-2178
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Empire Home Health Care Services, IncCCN 058064
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jan 8, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D0973701American Empire Home Health Care Services905 S Glendora Ave Ste a, West Covina, CA 91790Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

538 E San Bernardino Rd
Covina, CA 91723
Phone (626) 732-6542

2934 E Garvey Ave S
Ste 214
West Covina, CA 91791
Phone (626) 665-9801

905 S Glendora Ave
Ste A
West Covina, CA 91790
Phone (626) 732-6542

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.

NameRoleSinceShare
Henry Aguirre Individual 5% Or Greater Direct Ownership InterestOwner Jul 8, 2005 90%
Corporate OfficerPresident/Treasurer Jul 8, 2005 50%
W-2 Managing EmployeeCeo Jul 8, 2005 50%
Rodolfo Zamora Individual W-2 Managing EmployeeAccounting/Payroll and Receivabl Jul 8, 2005 50%
Nelie a Lucero-Aguirre Individual 5% Or Greater Direct Ownership InterestAdministrator Sep 1, 2006 10%
Corporate OfficerSecretary Sep 1, 2005 50%
W-2 Managing EmployeeAdministrator/Director of Nurses Jul 1, 2005 100%
Solomon Forouzesh Individual Contracted Managing Employee May 1, 2004

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1366486581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S GLENDORA AVE STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904205",
            "telephone_number": "626-732-6542",
            "fax_number": "626-732-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S GLENDORA AVE STE A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904205",
            "telephone_number": "626-732-6542",
            "fax_number": "626-732-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EMPIRE HOME HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "ASUNCION",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "626-732-6542"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08064G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.