Specialized Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECIALIZED HEALTH CARE SERVICES, INC.

Doing business as

Specialized Home Health Services

Practice address

1540 W Glenoaks Blvd Ste 104
Glendale, CA 91201-3156

Phone

(818) 500-3929

Fax

(818) 500-3927

NPI assigned

Sep 28, 2006

Last updated

Jul 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dionalyn C Ugbebor

Title

President

Phone

(818) 500-3929

Specialties & licenses 1

Addresses

Other names 1

• Specialized Home Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417049354. Details of each certification follow.

• CCN 058422 Home health agency · Active · Details

Home health agency certification: CCN 058422

Legal name

SPECIALIZED HEALTH CARE SERVICES, INC.

Doing business as

SPECIALIZED HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 4, 2007

Last certification

Aug 22, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 17, 2009 in CA

Enrollment address

2755 Bristol St
Ste 115
Costa Mesa, CA 92626-5960

Listed as

Specialized Home Health ServicesCCN 058422 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Nov 4, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Murray H. Kwon, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1841482981

  Home health agency

  Care Compare affiliation
• Erik N Zeegen, M.D.

  • Orthopaedic Surgery Physician
  • Tarzana, CA
  • NPI 1427039437

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1417049354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013156",
            "telephone_number": "818-500-3929",
            "fax_number": "818-500-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013156",
            "telephone_number": "818-500-3929",
            "fax_number": "818-500-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "UGBEBOR",
        "authorized_official_first_name": "DIONALYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-500-3929"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialized Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keshia Spain
• Edward Spangler, M.A.
• Laura Spanko, DO
• Cynthia M Speakman, LCSW
• Special Care You Need, Inc
• Specialized Health Care Services, Inc. (Specialized Hospice Services)
• Specialty Eye Care Medical Center, Inc.
• Specialty Eye Care Medical Center, Inc.
• Specialty Eye Care Medical Center, Inc.
• Specialty Hospice Care

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.

Verify at the official NPI Registry.