Organization Active NPI

At Home Health Services, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1376792416
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000976 Issued in CA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Aug 7, 2008 in CA
Enrollment address
5530 Corbin Ave
Ste 228
Tarzana, CA 91356-7113
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Home Health Services, IncCCN 059329 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 25, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Naomi Sta Maria Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerSecretary Feb 11, 2021 25%
Corporate DirectorSecretary Feb 11, 2021 25%
Operational/Managerial ControlSecretary Feb 11, 2021 25%
Racquel S Quema Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerCfo Feb 11, 2021 25%
Corporate DirectorCfo, Medical Director Feb 11, 2021 25%
Operational/Managerial ControlMedical Director Feb 11, 2021 25%
Nydia Sta Maria Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerCeo Feb 11, 2021 25%
Corporate DirectorCeo, Administrator Feb 11, 2021 25%
Operational/Managerial ControlAdministrator Feb 11, 2021 25%
Leonilo S Sta Maria Individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 25%
Corporate OfficerBoard Member Feb 11, 2021 25%
Corporate DirectorBoard Member Feb 11, 2021 25%
W-2 Managing EmployeeBoard Member 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.

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

Verify at the official NPI Registry.