NPIMap

Organization Active NPI

Committed Home Health Care, Inc.

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1396224564
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMITTED HOME HEALTH CARE, INC.
Practice address
14852 Ventura Blvd Ste 210a
Sherman Oaks, CA 91403-3483
Phone
(818) 975-8282
Fax
(818) 975-8283
NPI assigned
Aug 9, 2018
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Susana San Agustin, RN
Title
Ceo
Phone
(818) 975-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14852 Ventura Blvd Ste 210a
Sherman Oaks, CA 91403-3483

Mailing address

14852 Ventura Blvd Ste 210a
Sherman Oaks, CA 91403-3483
Phone (818) 975-8282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181205000868 CA Part A Provider - Home Health Agency 8527302397 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396224564. Details of each certification follow.

Home health agency certification: CCN 559774

Legal name
COMMITTED HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 13, 2022
Last certification
Nov 11, 2021
Organization structure
CorporationProprietary
Incorporated
Jul 9, 2018 in CA
Enrollment address
14852 Ventura Blvd
Ste 210a
Sherman Oaks, CA 91403-3483

Care Compare: Home health agency

Medicare Care Compare
Listed as
Committed Home Health Care, IncCCN 559774 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Jan 13, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18645 Sherman Way
Ste 104
Reseda, CA 91335

14827 Ventura Blvd
Ste 116
Sherman Oaks, CA 91403
Phone (818) 975-8282

14852 Ventura Blvd
Ste 210A
Sherman Oaks, CA 91403
Phone (818) 975-8282

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
Susana Marcelo San Agustin Individual 5% Or Greater Direct Ownership InterestOwner May 10, 2019 80%
Corporate OfficerCeo-Chairman of the Board May 10, 2019 80%
Corporate DirectorCeo-Chairman of the Board May 10, 2019 80%
W-2 Managing EmployeeCeo-Chairman of the Board May 10, 2019 80%
Operational/Managerial ControlCeo-Chairman of the Board May 10, 2019 80%
Christopher Villanueva Eustaquio Individual 5% Or Greater Direct Ownership InterestOwner May 10, 2019 20%
Corporate OfficerSecretary-Board Member May 10, 2019 20%
Corporate DirectorSecretary-Board Member May 10, 2019 20%
W-2 Managing EmployeeSecretary-Board Member May 10, 2019 20%
Operational/Managerial ControlSecretary-Board Member May 10, 2019 20%

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1396224564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 210A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033483",
            "telephone_number": "818-975-8282",
            "fax_number": "818-975-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 210A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033483",
            "telephone_number": "818-975-8282",
            "fax_number": "818-975-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SAN AGUSTIN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-975-8282",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.