Organization Active NPI

Alliant Health Systems Inc

Doing business as Alliant Home Health Care Services

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1447438734
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLIANT HEALTH SYSTEMS INC
Doing business as
Alliant Home Health Care Services
Practice address
2149 E Garvey Ave N
Suite a-4
West Covina, CA 91791-1538
Phone
(626) 332-0600
Fax
(626) 332-0666
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Mr. Hamid Siwoke, PRESIDENT
Title
President/Owner
Phone
(626) 332-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2149 E Garvey Ave N
Suite a-4
West Covina, CA 91791-1538

Mailing address

2149 E Garvey Ave N
Suite a-4
West Covina, CA 91791-1538
Phone (626) 332-0600

Other names 1

  • ALLIANT HOME HEALTH CARE SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080311000772 CA Part A Provider - Home Health Agency 9739264987 Practice locations: West Covina, CA

Home health agency certification: CCN 059102

Legal name
ALLIANT HEALTH SYSTEMS INC
Doing business as
ALLIANT HOME HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 6, 2009
Last certification
Sep 15, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 24, 2007 in CA
Enrollment address
2149 E Garvey Ave N
Ste A4
West Covina, CA 91791-1508
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alliant Home Health Care ServicesCCN 059102 · All quality measures
Ownership
Proprietary
Certified
Oct 6, 2009
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
05D1080326Alliant Home Health Care Services2149 E Garvey Ave North Ste a-4, West Covina, CA 91791Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

2149 E Garvey Ave N
Ste A4
West Covina, CA 91791
Phone (626) 332-0600

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
Hamid Shiwoku Individual 5% Or Greater Direct Ownership InterestOwner Jan 28, 2008 100%
Corporate OfficerOwner/Ceo Jul 30, 2007 100%
Corporate DirectorSole Board Member Jan 28, 2008
W-2 Managing EmployeeAdministrator/Ceo Jan 28, 2008 100%

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1447438734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E GARVEY AVE N",
            "address_2": "SUITE A-4",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911538",
            "telephone_number": "626-332-0600",
            "fax_number": "626-332-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 E GARVEY AVE N",
            "address_2": "SUITE A-4",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911538",
            "telephone_number": "626-332-0600",
            "fax_number": "626-332-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANT HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "SIWOKE",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-332-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIANT HOME HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.