Active NPI
At Home Health Services, Inc.
- Home Health Agency
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000976
- Legal business name
- AT HOME HEALTH SERVICES, INC.
- Practice address
- 5530 Corbin Ave
Ste 228
Tarzana, CA 91356-2914 - Phone
- (818) 757-3333
- Fax
- (818) 757-3343
- NPI assigned
- Sep 13, 2008
- Last updated
- Jul 10, 2024
- 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
- Mrs. Nydia Sta Maria
- Title
- Ceo
- Phone
- (818) 757-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000976 | CA | Primary |
Addresses
Primary practice location
5530 Corbin Ave
Ste 228
Tarzana, CA 91356-2914
Mailing address
5530 Corbin Ave
Ste 228
Tarzana, CA 91356-2914
Phone (818) 757-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081110000496 | CA | Part A Provider - Home Health Agency | 0547329294 | Practice locations: Tarzana, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376792416. Details of each certification follow.
Home health agency certification: CCN 059329
- Legal name
- AT HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 25, 2011
- Last certification
- Apr 23, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 7, 2008 in CA
- Enrollment address
- 5530 Corbin Ave
Ste 228
Tarzana, CA 91356-7113
Care Compare: Home health agency
Medicare Care Compare- Listed as
- At Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 25, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
5530 Corbin Ave
Ste 228
Tarzana, CA 91356
Phone (818) 757-3333
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 |
|---|---|---|---|
| Naomi Sta Maria | 5% Or Greater Direct Ownership Interest | Feb 11, 2021 | 25% |
| Corporate Officer | Feb 11, 2021 | 25% | |
| Corporate Director | Feb 11, 2021 | 25% | |
| Operational/Managerial Control | Feb 11, 2021 | 25% | |
| Racquel S Quema | 5% Or Greater Direct Ownership Interest | Feb 11, 2021 | 25% |
| Corporate Officer | Feb 11, 2021 | 25% | |
| Corporate Director | Feb 11, 2021 | 25% | |
| Operational/Managerial Control | Feb 11, 2021 | 25% | |
| Nydia Sta Maria | 5% Or Greater Direct Ownership Interest | Feb 11, 2021 | 25% |
| Corporate Officer | Feb 11, 2021 | 25% | |
| Corporate Director | Feb 11, 2021 | 25% | |
| Operational/Managerial Control | Feb 11, 2021 | 25% | |
| Leonilo S Sta Maria | 5% Or Greater Direct Ownership Interest | Feb 11, 2021 | 25% |
| Corporate Officer | Feb 11, 2021 | 25% | |
| Corporate Director | Feb 11, 2021 | 25% | |
| W-2 Managing Employee | Feb 11, 2021 | 25% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Burbank, CA
- NPI 1033369467
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1221264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1376792416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 CORBIN AVE",
"address_2": "STE 228",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562914",
"telephone_number": "818-757-3333",
"fax_number": "818-757-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 CORBIN AVE",
"address_2": "STE 228",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562914",
"telephone_number": "818-757-3333",
"fax_number": "818-757-3343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-13",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "STA MARIA",
"authorized_official_first_name": "NYDIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-757-3333",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.