NPIMap

Organization Active NPI

Holy Infant Home Care, Inc.

  • Home Health Agency
  • Claremont, CA
National Provider Identifier
1407077126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLY INFANT HOME CARE, INC.
Practice address
791 Marylind Ave
Claremont, CA 91711-3531
Phone
(909) 603-9312
Fax
(909) 399-3272
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Arturo Caparas Ochoco
Title
Chief Financial Officer
Phone
(909) 603-9312

Specialties & licenses 1

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

Addresses

Primary practice location

791 Marylind Ave
Claremont, CA 91711-3531

Mailing address

791 Marylind Ave
Claremont, CA 91711-3531
Phone (909) 603-9312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000344 CA Part A Provider - Home Health Agency 4082501416 Practice locations: Claremont, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407077126. Details of each certification follow.

Home health agency certification: CCN 058483

Legal name
HOLY INFANT HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 30, 2008
Last certification
Apr 23, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 1, 2003 in CA
Enrollment address
791 Marylind Ave
# 3
Claremont, CA 91711-3531

Care Compare: Home health agency

Medicare Care Compare
Listed as
Holy Infant Home Care, IncCCN 058483 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1028462Holy Infant Home Care Inc791 Marylind Ave, Claremont, CA 91711Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Locations

791 Marylind Ave
Claremont, CA 91711
Phone (909) 603-9312

791 Marylind Ave
#3
Claremont, CA 91711
Phone (909) 603-9312

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Ofelia a Ochoco Individual 5% Or Greater Direct Ownership Interest Oct 1, 2003 25%
Corporate OfficerAdministrator Oct 1, 2003 50%
Corporate DirectorCeo Oct 1, 2003 25%
W-2 Managing EmployeeAdministrator Oct 1, 2003 50%
Azmy F Ghaly Individual Corporate OfficerMedical Director May 1, 2007
Amelia N Ecal Individual Corporate OfficerDirector of Patient Care SVCS Apr 1, 2014
W-2 Managing EmployeeDirector of Patient Care SVCS Apr 1, 2014
Cyrill Gonzales Individual W-2 Managing EmployeeDirector of Patient Care Service Jan 8, 2021
Sabrina a Chaudhry Individual 5% Or Greater Direct Ownership Interest Oct 1, 2003 25%
Corporate DirectorSecretary Oct 1, 2003 25%
Aaron a Ochoco Individual 5% Or Greater Direct Ownership Interest Oct 1, 2003 25%
Corporate OfficerDirector of Human Resources Jun 6, 2008 25%
Corporate DirectorBoard Member Jun 6, 2008 25%
W-2 Managing EmployeeDirector of Human Resources Jun 6, 2008 25%
Arturo C Ochoco Individual 5% Or Greater Direct Ownership Interest Oct 1, 2003 25%
Corporate OfficerCfo Oct 1, 2003 25%
Corporate DirectorPresident Oct 1, 2003 25%
W-2 Managing EmployeeCfo Oct 1, 2003 25%

Owners & managing parties with NPI records 1

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

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407077126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 MARYLIND AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113531",
            "telephone_number": "909-603-9312",
            "fax_number": "909-399-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 MARYLIND AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113531",
            "telephone_number": "909-603-9312",
            "fax_number": "909-399-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY INFANT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCHOCO",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_middle_name": "CAPARAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-603-9312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.