Active NPI
SCN Home Care Services, Inc
- Home Health Agency
- Anaheim, CA
National Provider Identifier
1417574674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SCN HOME CARE SERVICES, INC
- Doing business as
- SCN Home Care Services, Inc
- Practice address
- 9778 Katella Ave
Anaheim, CA 92804-6460 - Phone
- (714) 390-5643
- Fax
- (714) 276-1394
- NPI assigned
- Jul 2, 2020
- Last updated
- Jul 2, 2020
- 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
- Nena Yu, RN
- Title
- Ceo
- Phone
- (714) 390-5643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
9778 Katella Ave
Anaheim, CA 92804-6460
Mailing address
9778 Katella Ave
Anaheim, CA 92804-6460
Phone (714) 390-5643
Other names 1
- SCN Home Care Services, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200730002240 | CA | Part A Provider - Home Health Agency | 4385069855 | Practice locations: Garden Grove, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417574674. Details of each certification follow.
Home health agency certification: CCN 559789
- Legal name
- SCN HOME CARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 20, 2003
- Last certification
- Mar 1, 2022
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 4, 2020 in CA
- Enrollment address
- 9778 Katella Avenue
Suite 203
Garden Grove, CA 92840-1011
Care Compare: Home health agency
Medicare Care Compare- Listed as
- SCN Home Care Services, Inc.
- Ownership
- Proprietary
- Certified
- Jan 20, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
9778 Katella Ave
Anaheim, CA 92804
Phone (714) 390-5643
9778 Katella Ave
Ste 203
Anaheim, CA 92804
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nena Yu | 5% Or Greater Direct Ownership Interest | Jun 4, 2020 | 100% |
| Corporate Officer | Jun 4, 2020 | 100% | |
| Corporate Director | Jun 4, 2020 | 100% | |
| W-2 Managing Employee | Jun 4, 2020 | 100% | |
| Operational/Managerial Control | Jun 4, 2020 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593648000000",
"number": "1417574674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9778 KATELLA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046460",
"telephone_number": "714-390-5643",
"fax_number": "714-276-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9778 KATELLA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046460",
"telephone_number": "714-390-5643",
"fax_number": "714-276-1394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCN HOME CARE SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-02",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "NENA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-390-5643",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCN Home Care Services, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.