Organization Active NPI

Continuity Providers Healthcare Inc.

  • Home Health Agency
  • Hawthorne, CA
National Provider Identifier
1396028700
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550002310 Issued in CA
Legal business name
CONTINUITY PROVIDERS HEALTHCARE INC.
Practice address
11633 Hawthorne Blvd
308
Hawthorne, CA 90250-2321
Phone
(310) 941-1475
Fax
(323) 757-6885
NPI assigned
Sep 21, 2011
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Sylvanus Okooboh
Title
President/Ceo
Phone
(310) 307-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550002310 CA Primary

Addresses

Primary practice location

11633 Hawthorne Blvd
308
Hawthorne, CA 90250-2321

Mailing address

11633 Hawthorne Blvd
308
Hawthorne, CA 90250-2321
Phone (310) 941-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120601000318 CA Part A Provider - Home Health Agency 9133383128 Practice locations: Hawthorne, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396028700. Details of each certification follow.

Home health agency certification: CCN 059603

Legal name
CONTINUITY PROVIDERS HEALTHCARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 16, 2014
Last certification
Feb 7, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 4, 2011 in CA
Enrollment address
11633 Hawthorne Blvd 308
Hawthorne, CA 90250-2370

Care Compare: Home health agency

Medicare Care Compare
Listed as
Continuity Providers Healthcare, Inc.CCN 059603 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 16, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2034849Continuity Providers Healthcare Inc11633 Hawthorne Blvd Suite 308, Hawthorne, CA 90250Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Sylvanus Okooboh Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Jan 4, 2011 100%
Corporate OfficerPresident/Ceo Jan 4, 2011 100%
Corporate DirectorPresident/Ceo Jan 4, 2011 100%
W-2 Managing EmployeePresident/Ceo Jan 4, 2011 100%
Operational/Managerial ControlPresident/Ceo Jan 4, 2011 100%

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1396028700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "308",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-941-1475",
            "fax_number": "323-757-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "308",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-941-1475",
            "fax_number": "323-757-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUITY PROVIDERS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-06-03",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "OKOOBOH",
        "authorized_official_first_name": "SYLVANUS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-307-3280"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550002310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.