Organization Active NPI

Caring Hands Home Health Agency, Inc.

  • Home Health Agency
  • Culver City, CA
National Provider Identifier
1417987322
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001440 Issued in CA
Legal business name
CARING HANDS HOME HEALTH AGENCY, INC.
Practice address
5701 W Slauson Ave
100
Culver City, CA 90230-6523
Phone
(310) 258-0258
Fax
(310) 258-0298
NPI assigned
Jul 4, 2006
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Ms. Maxine Laneal Demarks, R.N.
Title
Administrator / Dopcs
Phone
(310) 258-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001440 CA Primary

Addresses

Primary practice location

5701 W Slauson Ave
100
Culver City, CA 90230-6523

Mailing address

5701 W Slauson Ave
100
Culver City, CA 90230-6523
Phone (310) 258-0258

Other identifiers 1

IdentifierTypeStateIssuer
HHA08160FMedicaidCA

Other names 1

  • Caring Hands Home Health Service, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000692 CA Part A Provider - Home Health Agency 4688620230 Practice locations: Culver City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417987322. Details of each certification follow.

Home health agency certification: CCN 058160

Legal name
CARING HANDS HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2003
Last certification
Jul 29, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 10, 2000 in CA
Enrollment address
5701 W Slauson Ave
Ste 202
Culver City, CA 90230-3425

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caring Hands Home Health Agency, IncCCN 058160 · All quality measures
Ownership
Proprietary
Certified
Feb 6, 2003
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
05D1001642Caring Hands Home Health Agency Inc5701 W Slauson Ave Suite 202, Culver City, CA 90230Certificate of waiverJul 15, 2028

National Provider Directory

National Provider Directory

Locations

5701 W Slauson Ave
Ste 100
Culver City, CA 90230
Phone (310) 258-0258

5701 W Slauson Ave
Ste 202
Culver City, CA 90230
Phone (310) 258-0258

3600 Wilshire Blvd
Ste 1004
Los Angeles, CA 90010
Phone (213) 387-7355

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
Anita Kriplani Individual Contracted Managing EmployeeContractor/Medical & Laboratory Jan 1, 2020
Maxine L Demarks Individual 5% Or Greater Direct Ownership Interest Apr 10, 2000 100%
Corporate OfficerCeo Apr 10, 2000 100%
W-2 Managing EmployeeAdministrator,Director of Nursin Apr 10, 2000 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1417987322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W SLAUSON AVE",
            "address_2": "100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306523",
            "telephone_number": "310-258-0258",
            "fax_number": "310-258-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W SLAUSON AVE",
            "address_2": "100",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306523",
            "telephone_number": "310-258-0258",
            "fax_number": "310-258-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "DEMARKS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "LANEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR / DOPCS",
        "authorized_official_telephone_number": "310-258-0258",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08160F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hands Home Health Service, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.