Organization Active NPI

Vigilans Home Health Services Inc

  • Home Health Agency
  • Redlands, CA
National Provider Identifier
1407178643
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VIGILANS HOME HEALTH SERVICES INC
Practice address
256 Cajon St Ste B
Redlands, CA 92373-5278
Phone
(909) 748-7980
Fax
(909) 781-2496
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Mr. Joel Zamora
Title
President
Phone
(909) 748-7980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

256 Cajon St Ste B
Redlands, CA 92373-5278

Mailing address

256 Cajon St Ste B
Redlands, CA 92373-5278
Phone (909) 748-7980

Other identifiers 1

IdentifierTypeStateIssuer
550001531OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000743 CA Part A Provider - Home Health Agency 5698951150 Practice locations: Redlands, CA

Home health agency certification: CCN 059468

Legal name
VIGILANS HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 30, 2012
Last certification
Jul 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 13, 2010 in CA
Enrollment address
256 Cajon St
Ste B
Redlands, CA 92373-5278

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vigilans Home Health Services, IncCCN 059468
Ownership
Proprietary
Certified
Aug 30, 2012
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
05D2030479Vigilans Home Health Services, Inc.256 Cajon St Ste B, Redlands, CA 92373Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Locations

101 E Redlands Blvd
Ste 220
Redlands, CA 92373
Phone (909) 748-7980

837 Tri City Ctr
Ste A
Redlands, CA 92374
Phone (909) 748-7980

256 Cajon St
Ste B
Redlands, CA 92373
Phone (909) 748-7980

101 E Redlands Blvd
#215F
Redlands, CA 92373
Phone (909) 583-4291

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Joel M Zamora Individual 5% Or Greater Direct Ownership Interest Jan 22, 2018 100%
Corporate DirectorCeo Jan 22, 2018 100%
W-2 Managing EmployeeCeo Jan 22, 2018 100%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1407178643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CAJON ST STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735278",
            "telephone_number": "909-748-7980",
            "fax_number": "909-781-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CAJON ST STE B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735278",
            "telephone_number": "909-748-7980",
            "fax_number": "909-781-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANS HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-748-7980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550001531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.