Active NPI
Integna Home Health, LLC.
- Home Health Agency
- Buena Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INTEGNA HOME HEALTH, LLC.
- Practice address
- 6131 Orangethorpe Ave Ste 106
Buena Park, CA 90620-4901 - Phone
- (714) 790-6758
- Fax
- (714) 790-6759
- NPI assigned
- May 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emma C Rogong
- Title
- Managing Member
- Phone
- (714) 790-6758
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6131 Orangethorpe Ave Ste 106
Buena Park, CA 90620-4901
Mailing address
6131 Orangethorpe Ave Ste 106
Buena Park, CA 90620-4901
Phone (714) 790-6758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201019002505 | CA | Part A Provider - Home Health Agency | 6406276104 | Practice locations: Buena Park, CA |
Home health agency certification: CCN 559343
- Legal name
- INTEGNA HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 18, 2021
- Last certification
- Feb 18, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 22, 2019 in CA
- Enrollment address
- 6131 Orangethorpe Ave
Ste 106
Buena Park, CA 90620-4901
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Integna Home Health LLC
- Ownership
- Proprietary
- Certified
- Feb 18, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2274846 | Integna Home Health LLC | Certificate of waiver | Jan 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
6131 Orangethorpe Ave
Ste 106
Buena Park, CA 90620
Phone (714) 790-6758
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Emma Rogong | 5% Or Greater Direct Ownership Interest | Apr 22, 2019 | 100% |
| Amir Jordan Esmail | W-2 Managing Employee | Apr 22, 2019 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Homemaker
- Buena Park, CA
- NPI 1285241901
-
- Home Health Aide
- Long Beach, CA
- NPI 1598372229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1407412828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6131 ORANGETHORPE AVE STE 106",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204901",
"telephone_number": "714-790-6758",
"fax_number": "714-790-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6131 ORANGETHORPE AVE STE 106",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204901",
"telephone_number": "714-790-6758",
"fax_number": "714-790-6759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGNA HOME HEALTH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "ROGONG",
"authorized_official_first_name": "EMMA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "714-790-6758"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.