Active NPI
Julius Idowu Irumundomon, RCP
- Home Health Registered Nurse
- Long Beach, CA
National Provider Identifier
1437215548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 55832
- Practice address
- 235 E Broadway Ste 424
Long Beach, CA 90802-3162 - Phone
- (562) 682-3858
- Fax
- (562) 285-0559
- NPI assigned
- Dec 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 55832 | CA | Primary |
Addresses
Primary practice location
235 E Broadway Ste 424
Long Beach, CA 90802-3162
Mailing address
235 E Broadway Ste 424
Long Beach, CA 90802-3162
Phone (562) 682-3858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070717000303 | CA | Part A Provider - Home Health Agency | 7315047545 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Long Beach, CA |
Home health agency certification: CCN 059113
- Legal name
- TOTAL CARE HOME HEALTH SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 5, 2009
- Last certification
- Aug 27, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 14, 2016 in CA
- Enrollment address
- 4201 Long Beach Blvd
Ste 308
Long Beach, CA 90807-2021
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Home Health Agency
- Long Beach, CA
- NPI 1265722599
O20070717000303
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Total Care Home Health Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 5, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
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 |
|---|---|---|---|
| Julius I Irumundomon | 5% Or Greater Direct Ownership Interest | Oct 2, 2007 | 100% |
| Corporate Officer | Oct 2, 2007 | 100% | |
| Corporate Director | Jan 13, 2007 | 100% | |
| W-2 Managing Employee | Jan 13, 2007 | 100% | |
| Operational/Managerial Control | Oct 2, 2007 | 100% |
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": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437215548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E BROADWAY STE 424",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908023162",
"telephone_number": "562-682-3858",
"fax_number": "562-285-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E BROADWAY STE 424",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908023162",
"telephone_number": "562-682-3858",
"fax_number": "562-285-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRUMUNDOMON",
"first_name": "JULIUS",
"middle_name": "IDOWU",
"credential": "RCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "55832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.