A&C Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A&C HEALTHCARE, INC.

Practice address

20465 Valley Blvd
Walnut, CA 91789-2729

Phone

(909) 598-3725

Fax

(909) 598-3075

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia V. Lugue

Title

President/Ceo

Phone

(909) 598-3725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059624

Legal name

A&C HEALTHCARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 12, 2014

Last certification

Sep 23, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 20, 2011 in CA

Enrollment address

20465 E Valley Blvd
Walnut, CA 91789-2729

Listed as

A&C Healthcare, IncCCN 059624

Ownership

Proprietary

Certified

May 12, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joselito P Babaran, MD

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1225072564
  NPD (past)

Affiliated clinicians 1

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

• Eric Mario Tate, M.D.

  • Internal Medicine Physician
  • Paramount, CA
  • NPI 1790869139

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1386911337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20465 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892729",
            "telephone_number": "909-598-3725",
            "fax_number": "909-598-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20465 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892729",
            "telephone_number": "909-598-3725",
            "fax_number": "909-598-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&C HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "LUGUE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-598-3725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Walnut, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.

Verify at the official NPI Registry.