Active NPI
Healthwise Home Care Solutions Inc
- Home Health Agency
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 050000576
- Legal business name
- HEALTHWISE HOME CARE SOLUTIONS INC
- Practice address
- 1100 N Ventura Rd
Ste 102
Oxnard, CA 93030-3841 - Phone
- (805) 983-0086
- Fax
- (805) 983-0079
- NPI assigned
- Apr 19, 2006
- Last updated
- Mar 31, 2011
- 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
- Dr. Suzanne L Fussell, MD
- Title
- Administrator
- Phone
- (805) 983-0086
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 050000576 | CA | Primary |
Addresses
Primary practice location
1100 N Ventura Rd
Ste 102
Oxnard, CA 93030-3841
Mailing address
1100 N Ventura Rd
Ste 102
Oxnard, CA 93030-3841
Phone (805) 983-0086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08248F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030514000063 | CA | Part A Provider - Home Health Agency | 6204746852 | Practice locations: Oxnard, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427013663. Details of each certification follow.
Home health agency certification: CCN 058248
- Legal name
- HEALTHWISE HOME CARE SOLUTIONS INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 7, 2004
- Last certification
- Aug 29, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 10, 2003 in CA
- Enrollment address
- 1100 N Ventura Rd
Ste 102
Oxnard, CA 93030-3841
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Healthwise Home Care Solutions Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 7, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1009596 | Healthwise Home Care Solutions Inc | Certificate of waiver | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
1100 N Ventura Rd
Ste 102
Oxnard, CA 93030
Phone (805) 983-0086
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph O Iwuajoku | 5% Or Greater Direct Ownership Interest | Jan 10, 2003 | 50% |
| Corporate Officer | Jan 10, 2003 | 50% | |
| Corporate Director | May 27, 2003 | 50% | |
| Suzanne L Fussell | 5% Or Greater Direct Ownership Interest | Jan 10, 2003 | 50% |
| Corporate Officer | Jan 10, 2003 | 50% | |
| Corporate Director | May 27, 2003 | 50% | |
| W-2 Managing Employee | May 27, 2003 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Oxnard, CA
- NPI 1942394457
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Oxnard, CA
- NPI 1942394457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301529600000",
"number": "1427013663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N VENTURA RD",
"address_2": "STE 102",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303841",
"telephone_number": "805-983-0086",
"fax_number": "805-983-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N VENTURA RD",
"address_2": "STE 102",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303841",
"telephone_number": "805-983-0086",
"fax_number": "805-983-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHWISE HOME CARE SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2011-03-31",
"status": "A",
"authorized_official_last_name": "FUSSELL",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "805-983-0086",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "050000576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08248F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.