Eder Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EDER HOME HEALTH CARE INC

Practice address

15125 Ventura Blvd Ste 2-7
Sherman Oaks, CA 91403-3306

Phone

(818) 478-8709

Fax

(877) 847-7603

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Ana Lat

Title

Ceo

Phone

(818) 478-8709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396312880. Details of each certification follow.

• CCN 757444 Home health agency · Active · Details

Home health agency certification: CCN 757444

Legal name

EDER HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 9, 2023

Last certification

Oct 31, 2023

Organization structure

CorporationProprietary

Incorporated

May 12, 2021 in CA

Enrollment address

15125 Ventura Blvd
Ste 2-7
Sherman Oaks, CA 91403-3306

Listed as

Eder Home Health Care, Inc.CCN 757444 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Nov 9, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

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

• Daniel Kwan Dea, M.D.

  • Pulmonary Disease Physician
  • Burbank, CA
  • NPI 1013005503

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1396312880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 2-7",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "818-478-8709",
            "fax_number": "877-847-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 VENTURA BLVD STE 2-7",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033306",
            "telephone_number": "818-478-8709",
            "fax_number": "877-847-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDER HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "LAT",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-478-8709"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Oct 11, 2024; 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.