Aegis Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AEGIS HEALTH LLC

Practice address

237 Church Ave
Chula Vista, CA 91910-2702

Phone

(619) 504-5274

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Vivien Lim, RN

Title

Administrator

Phone

(619) 504-5274

Specialties & licenses 1

Addresses

Other names 1

• Aegis Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559313

Legal name

AEGIS HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2020

Last certification

Sep 15, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 6, 2018 in CA

Enrollment address

237 Church Ave
Chula Vista, CA 91910-2702
HHA Branch

Listed as

Aegis Health LLCCCN 559313

Ownership

Proprietary

Certified

Sep 15, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

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.

• Samantha Kate Lim

  • Behavior Technician
  • Carlsbad, CA
  • NPI 1689309767
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1396239000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HUMPHREY PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116946",
            "telephone_number": "619-504-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CHURCH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102702",
            "telephone_number": "619-504-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-504-5274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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.