Organization Active NPI

Intellicare Home Health LLC

  • Home Health Agency
  • Mission Viejo, CA
National Provider Identifier
1396501375
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTELLICARE HOME HEALTH LLC
Practice address
27001 La Paz Rd Ste 466
Mission Viejo, CA 92691-5526
Phone
(949) 393-7007
Fax
(949) 326-0282
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Authorized official

Name
Magdalena Austin, NPNPI 1982350385
Title
Ceo/Administrator
Phone
(949) 393-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

27001 La Paz Rd Ste 466
Mission Viejo, CA 92691-5526

Mailing address

27001 La Paz Rd Ste 466
Mission Viejo, CA 92691-5526
Phone (949) 393-7007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250528003097 CA Part A Provider - Home Health Agency 9537688965 Practice locations: Mission Viejo, CA

Home health agency certification: CCN 758152

Legal name
INTELLICARE HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2025
Last certification
Oct 2, 2025
Organization structure
LLCProprietary
Enrollment address
27001 La Paz Rd
Ste 466
Mission Viejo, CA 92691-5526
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Intellicare Home Health LLCCCN 758152
Ownership
-
Certified
Oct 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

27001 La Paz Rd
Ste 466
Mission Viejo, CA 92691
Phone 94939370071001

Ownership & related parties

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.

NameRoleSinceShare
Magdalena M Austin Individual 5% Or Greater Direct Ownership InterestCeo Feb 16, 2024 34%
Corporate Officer Feb 16, 2024
Corporate Director Feb 16, 2024
W-2 Managing Employee Feb 16, 2024
Charistella Walter Individual 5% Or Greater Direct Ownership InterestSecretary Feb 16, 2024 33%
Corporate Officer Feb 16, 2024
Corporate Director Feb 16, 2024
W-2 Managing Employee Feb 16, 2024
Aliona T Woghiren Individual 5% Or Greater Direct Ownership InterestCfo Feb 16, 2024 33%
Corporate Officer Feb 16, 2024
Corporate Director Feb 16, 2024
W-2 Managing Employee Feb 16, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782000000000",
    "number": "1396501375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 466",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915526",
            "telephone_number": "949-393-7007",
            "fax_number": "949-326-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD STE 466",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915526",
            "telephone_number": "949-393-7007",
            "fax_number": "949-326-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLICARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "949-393-7007",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.