Active NPI
American Empire Home Health Care Services, Inc
- Home Health Agency
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001315
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08064G | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Feb 4, 2000 in CA
- Enrollment address
- 2934 E Garvey Ave S
Ste 214
West Covina, CA 91791-2178
Care Compare: Home health agency
Medicare Care Compare- Listed as
- American Empire Home Health Care Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 8, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0973701 | American Empire Home Health Care Services | Certificate of waiver | Jan 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Henry Aguirre | 5% Or Greater Direct Ownership Interest | Jul 8, 2005 | 90% |
| Corporate Officer | Jul 8, 2005 | 50% | |
| W-2 Managing Employee | Jul 8, 2005 | 50% | |
| Rodolfo Zamora | W-2 Managing Employee | Jul 8, 2005 | 50% |
| Nelie a Lucero-Aguirre | 5% Or Greater Direct Ownership Interest | Sep 1, 2006 | 10% |
| Corporate Officer | Sep 1, 2005 | 50% | |
| W-2 Managing Employee | Jul 1, 2005 | 100% | |
| Solomon Forouzesh | 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.
-
- Rheumatology Physician
- Culver City, CA
- NPI 1457548133
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Redondo Beach, CA
- NPI 1235312752
Home health agency
-
- Family Medicine Physician
- San Pedro, CA
- NPI 1932690484
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.