Organization Active NPI

Pacific Rim Home Health, Inc.

  • Home Health Agency
  • Alhambra, CA
National Provider Identifier
1396865234
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000870 Issued in CA
Legal business name
PACIFIC RIM HOME HEALTH, INC.
Practice address
2225 W Commonwealth Ave Ste 202
Alhambra, CA 91803-1334
Phone
(626) 741-5264
Fax
(626) 741-5295
NPI assigned
Mar 31, 2007
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Ms. Marisol Rodriguez
Title
Ceo
Phone
(626) 741-5264

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 550000870 CA Primary

Addresses

Primary practice location

2225 W Commonwealth Ave Ste 202
Alhambra, CA 91803-1334

Mailing address

2225 W Commonwealth Ave Ste 202
Alhambra, CA 91803-1334
Phone (626) 741-5264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000698 CA Part A Provider - Home Health Agency 1951409564 Practice locations: Alhambra, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396865234. Details of each certification follow.

Home health agency certification: CCN 059300

Legal name
PACIFIC RIM HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 2, 2011
Last certification
Apr 25, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 16, 2006 in CA
Enrollment address
2225 W Commonwealth Ave
Ste 202
Alhambra, CA 91803-1334

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pacific Rim Home Health, IncCCN 059300 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 2, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2225 W Commonwealth Ave
Ste 202
Alhambra, CA 91803
Phone (626) 741-5264

430 S Garfield Ave
Ste 315
Alhambra, CA 91801
Phone (626) 741-5264

4214 Beverly Blvd
Ste 210
Los Angeles, CA 90004
Phone (213) 351-9982

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
Miguel Rodriguez Individual W-2 Managing EmployeeAd; Jan 3, 2024 100%
Marisol Rodriguez Individual 5% Or Greater Direct Ownership Interest Jan 3, 2024 100%
Corporate OfficerCoe/Cfoi/Secretary Jan 3, 2024 100%
Corporate DirectorCoe/Cfoi/Secretary/Director Jan 3, 2024 100%
W-2 Managing EmployeeCoe/Cfoi/Secretary Jan 3, 2024 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1396865234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W COMMONWEALTH AVE STE 202",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031334",
            "telephone_number": "626-741-5264",
            "fax_number": "626-741-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W COMMONWEALTH AVE STE 202",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031334",
            "telephone_number": "626-741-5264",
            "fax_number": "626-741-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIM HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2024-05-17",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-741-5264",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.