Organization Active NPI

Integna Home Health, LLC.

  • Home Health Agency
  • Buena Park, CA
National Provider Identifier
1407412828
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Emma C RogongNPI 1285241901
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Apr 22, 2019 in CA
Enrollment address
6131 Orangethorpe Ave
Ste 106
Buena Park, CA 90620-4901
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Integna Home Health LLCCCN 559343
Ownership
Proprietary
Certified
Feb 18, 2021
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
05D2274846Integna Home Health LLC6131 Orangethorpe Ave #106, Buena Park, CA 90620Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Emma Rogong Individual 5% Or Greater Direct Ownership InterestManaging Member/Owner Apr 22, 2019 100%
Amir Jordan Esmail Individual W-2 Managing EmployeeGeneral Manager 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.

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": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.