Organization Active NPI

SCN Home Care Services, Inc

  • Home Health Agency
  • Anaheim, CA
National Provider Identifier
1417574674
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Jun 4, 2020 in CA
Enrollment address
9778 Katella Avenue
Suite 203
Garden Grove, CA 92840-1011
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
SCN Home Care Services, Inc.CCN 559789 · All quality measures
Ownership
Proprietary
Certified
Jan 20, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Nena Yu Individual 5% Or Greater Direct Ownership Interest Jun 4, 2020 100%
Corporate OfficerCeo/Cfo/Secretary Jun 4, 2020 100%
Corporate DirectorCeo/Cfo/Secretary Jun 4, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jun 4, 2020 100%
Operational/Managerial ControlCeo/Cfo/Secretary 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

Verify at the official NPI Registry.