Organization Active NPI

American Healthcare Professional Group

  • Home Health Agency
  • Dublin, CA
National Provider Identifier
1396114666
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICAN HEALTHCARE PROFESSIONAL GROUP
Practice address
11700 Dublin Blvd Ste 130
Dublin, CA 94568-2824
Phone
(925) 361-8506
Fax
(925) 361-8739
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Irenee Paule
Title
Owner/Ceo
Phone
(510) 415-2743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11700 Dublin Blvd Ste 130
Dublin, CA 94568-2824

Mailing address

11700 Dublin Blvd Ste 130
Dublin, CA 94568-2824
Phone (925) 361-8506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201008001191 CA Part A Provider - Home Health Agency 3274832076 Practice locations: Dublin, CA

Home health agency certification: CCN 757716

Legal name
AMERICAN HEALTHCARE PROFESSIONAL GROUP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 28, 2024
Last certification
Jun 6, 2024
Organization structure
CorporationProprietary
Incorporated
Feb 27, 2018 in CA
Enrollment address
11700 Dublin Blvd
Ste 130
Dublin, CA 94568-2824

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Healthcare Professional GroupCCN 757716
Overall star rating
4.5 of 5
Ownership
-
Certified
Jun 28, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

11700 Dublin Blvd
Ste 130
Dublin, CA 94568
Phone (925) 248-8175

2551 San Ramon Valley Blvd
Ste 252
San Ramon, CA 94583
Phone (925) 486-2090

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Magdalena G Cortez Individual W-2 Managing EmployeeDopcs & Admin Designee Aug 1, 2020 100%
Irenee T Paule Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2020 100%
Corporate OfficerPresodent/Ceo Aug 1, 2020 100%
Corporate DirectorCeo/Board Member Aug 1, 2020 100%
W-2 Managing EmployeeAdministrator Aug 1, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1396114666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 DUBLIN BLVD STE 130",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682824",
            "telephone_number": "925-361-8506",
            "fax_number": "925-361-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 DUBLIN BLVD STE 130",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682824",
            "telephone_number": "925-361-8506",
            "fax_number": "925-361-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTHCARE PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "PAULE",
        "authorized_official_first_name": "IRENEE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "510-415-2743"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.