Individual provider Active NPI

Julius Idowu Irumundomon, RCP

  • Home Health Registered Nurse
  • Long Beach, CA
National Provider Identifier
1437215548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
55832 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Total Care Home Health ServicesCCN 059113
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 5, 2009
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
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.

NameRoleSinceShare
Julius I Irumundomon Individual 5% Or Greater Direct Ownership InterestPresident/Ceo/Management Staff Oct 2, 2007 100%
Corporate OfficerPresident/Ceo/Management Staff Oct 2, 2007 100%
Corporate DirectorPresident/Ceo Jan 13, 2007 100%
W-2 Managing EmployeePresident/Ceo Jan 13, 2007 100%
Operational/Managerial ControlPresident/Ceo 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

Verify at the official NPI Registry.