NPIMap

Organization Active NPI

Descanso Home Health Services

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1437504990
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESCANSO HOME HEALTH SERVICES
Practice address
408 S Citrus Ave
Covina, CA 91723-2927
Phone
(626) 261-4835
Fax
(626) 841-7840
NPI assigned
May 3, 2016
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Jorge Garcia
Title
President
Phone
(909) 519-2292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

408 S Citrus Ave
Covina, CA 91723-2927

Mailing address

408 S Citrus Ave
Covina, CA 91723-2927
Phone (626) 261-4835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161011000116 CA Part A Provider - Home Health Agency 2163710914 Practice locations: Covina, CA
O20240809003465 CA Part B Supplier - Home Infusion Therapy Supplier 2163710914 Practice locations: Covina, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437504990. Details of each certification follow.

Home health agency certification: CCN 053195

Legal name
DESCANSO HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 2018
Last certification
Jun 7, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 7, 2016 in CA
Enrollment address
408 S Citrus Ave
Covina, CA 91723-2927

Care Compare: Home health agency

Medicare Care Compare
Listed as
Descanso Home Health Services, IncCCN 053195 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jun 7, 2018
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

Locations

408 S Citrus Ave
Covina, CA 91723
Phone (626) 261-4835

2155 E Garvey Ave N
Ste B17
West Covina, CA 91791
Phone (626) 489-9114

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
Jorge Garcia Individual 5% Or Greater Direct Ownership InterestOwner Apr 7, 2016 50%
Corporate OfficerPresident Apr 7, 2016 25%
W-2 Managing EmployeeAdministrator Apr 7, 2016 100%
Alfonso R Vasquez Individual 5% Or Greater Direct Ownership InterestOwner Apr 7, 2016 50%
Corporate OfficerVP, Secretary, Treasurer Apr 7, 2016 75%

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

Affiliated clinicians 5

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": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1437504990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S CITRUS AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232927",
            "telephone_number": "626-261-4835",
            "fax_number": "626-841-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S CITRUS AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232927",
            "telephone_number": "626-261-4835",
            "fax_number": "626-841-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCANSO HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-519-2292"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.