Organization Active NPI

Healthwise Home Care Solutions Inc

  • Home Health Agency
  • Oxnard, CA
National Provider Identifier
1427013663
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
050000576 Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. Suzanne L Fussell, MDNPI 1942394457
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA08248FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Jan 10, 2003 in CA
Enrollment address
1100 N Ventura Rd
Ste 102
Oxnard, CA 93030-3841
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healthwise Home Care Solutions IncCCN 058248 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Apr 7, 2004
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
05D1009596Healthwise Home Care Solutions Inc1100 N Ventura Rd #102, Oxnard, CA 93030Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Joseph O Iwuajoku Individual 5% Or Greater Direct Ownership InterestOwner Jan 10, 2003 50%
Corporate OfficerPresident Jan 10, 2003 50%
Corporate DirectorDirector May 27, 2003 50%
Suzanne L Fussell Individual 5% Or Greater Direct Ownership InterestOwner Jan 10, 2003 50%
Corporate OfficerSecretary Jan 10, 2003 50%
Corporate DirectorDirector 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.

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.

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

Verify at the official NPI Registry.