Elena'S Home Care Icf DDH Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

020000441 Issued in CA

Legal business name

ELENA'S HOME CARE ICF DDH INC

Practice address

25611 Belhaven St
Hayward, CA 94545-2529

Phone

(510) 785-8137

Fax

(510) 780-9836

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elena Dumitrescu

Title

Cfo

Phone

(510) 785-8137

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G810

Legal name

ELENA'S ICF/DD-H

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 1, 1994

Last certification

Sep 25, 2024

Beds

6

Ownership / control type

Private (proprietary)

Most recent change of ownership

Jun 16, 2008

Facility address

25611 Belhaven Street
Hayward, CA 94545

Tax ID family

Elena'S Home Care Icf DDH Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elena'S Icf DDH #2 Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Hayward, CA
  • NPI 1134286222
  NPD tax ID

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1386700664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25611 BELHAVEN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452529",
            "telephone_number": "510-785-8137",
            "fax_number": "510-780-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25611 BELHAVEN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452529",
            "telephone_number": "510-785-8137",
            "fax_number": "510-780-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA'S HOME CARE ICF DDH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "DUMITRESCU",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-785-8137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "020000441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05G810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osasere Osagie Ekhator
• Maria Ekwoge
• Elder Dementia Care at Home
• Adam Eldhshoury, RPH
• Elena Patterson MD a Medical Corporation
• Elena'S Icf DDH #2 Inc
• Elena'S Icf DDH #3 Inc
• Carly Elgin, RN,BSN, PHN
• Steven Lee Elias, N.P.
• Jasmine Elizalde

• Intellectual Disabilities Intermediate Care Facility in Hayward, CA
• Providers in Hayward, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.