NPIMap

Organization Active NPI

Farmer's Home Health

  • Home Health Agency
  • Ventura, CA
National Provider Identifier
1437696135
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FARMER'S HOME HEALTH
Practice address
4484 Market St
Suite 301
Ventura, CA 93003-7750
Phone
(805) 620-0772
Fax
(805) 620-0839
NPI assigned
Jan 19, 2017
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Mr. Kevin Shawn Farmer
Title
President/Ceo
Phone
(805) 746-9963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4484 Market St
Suite 301
Ventura, CA 93003-7750

Mailing address

4484 Market St
Suite 301
Ventura, CA 93003-7750
Phone (805) 620-0772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629000039 CA Part A Provider - Home Health Agency 3476822834 Practice locations: Ventura, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437696135. Details of each certification follow.

Home health agency certification: CCN 053190

Legal name
FARMER'S HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 27, 2018
Last certification
Jul 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 22, 2016 in CA
Enrollment address
4484 Market St
Ste 301
Ventura, CA 93003-8021
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Farmer's Home HealthCCN 053190 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 27, 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

4484 Market St
Ste 301
Ventura, CA 93003
Phone (805) 620-0772

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Monica Gomez Individual W-2 Managing EmployeeAdministrator Jul 31, 2017 100%
Ryan Davis Individual 5% Or Greater Direct Ownership Interest Dec 22, 2016 20%
Corporate OfficerAdministrator/Owner Dec 22, 2016 100%
Corporate DirectorAdministrator/Director/Owner Dec 22, 2016 100%
Kevin S Farmer Individual 5% Or Greater Direct Ownership Interest Dec 22, 2016 50%
Corporate OfficerCeo/Owner Dec 22, 2016 100%
Corporate DirectorCeo/Owner Dec 22, 2016 100%
Jeffrey B Bargman Individual 5% Or Greater Direct Ownership Interest Dec 22, 2016 20%
Corporate OfficerCfo/Owner Dec 22, 2016 100%
Corporate DirectorCfo/Owner Dec 22, 2016 100%
Phillip E Passno Individual 5% Or Greater Direct Ownership Interest Dec 22, 2016 10%
Corporate OfficerBoard Member/Owner Dec 22, 2016 100%
Corporate DirectorBoard Member/Owner Dec 22, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Ryan W Davis, MD
    • Diagnostic Radiology Physician
    • Sarasota, FL
    • NPI 1891734398

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

    CMS ownership

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.

Affiliated clinicians 20

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1437696135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4484 MARKET ST",
            "address_2": "SUITE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037750",
            "telephone_number": "805-620-0772",
            "fax_number": "805-620-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4484 MARKET ST",
            "address_2": "SUITE 301",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037750",
            "telephone_number": "805-620-0772",
            "fax_number": "805-620-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMER'S HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-746-9963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.