P.a.L. Loving Care Home Health, Inc.
Organization Active NPI Home Health Agency · Glendale, CA
NPI 1447521182 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1447521182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- P.A.L. LOVING CARE HOME HEALTH, INC.
- Practice address
- 210 N Central Ave Ste 220
Glendale, CA 91203-2595 - Phone
- (818) 244-7212
- Fax
- (818) 244-7209
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Louis Phillip Tan Teng
- Title
- Ceo
- Phone
- (818) 244-7212
Affiliated clinicians 7
-
Rohit Chetty, MD
-
Nancy Elizabeth Fitts, M.D.
-
Bryce D Jolley, DPM
-
Leonel Martinez, MD
-
Eric Robert Presser, M.D.
-
Benjamin Suh, DPM
-
Shabana N Tariq, MD
Medicare Care Compare: Home health agency
- Listed as
- P.a.L. Loving Care Home Health, Inc.
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Aug 21, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 059623
- Legal name
- P.A.L. LOVING CARE HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 21, 2014
- Last certification
- Oct 24, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 19, 2011 in CA
- Enrollment address
- 2829 N San Fernando Rd
Ste 211
Los Angeles, CA 90065-1343
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Junny Ngor |
5% Or Greater Direct Ownership Interest | Apr 1, 2020 | 100% |
| Corporate Officer |
Apr 1, 2020 | ||
| Corporate Director |
Apr 1, 2020 | ||
| W-2 Managing Employee |
Apr 1, 2020 | ||
| Operational/Managerial Control |
Apr 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120307000794 | CA | Part a Provider - Home Health Agency | 3971762188 | Practice locations: Los Angeles, CA |
National Provider Directory
Locations
210 N Central Ave
Ste 220
Glendale, CA 91203
Phone (818) 244-7212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
210 N Central Ave Ste 220
Glendale, CA 91203-2595
Mailing address
210 N Central Ave Ste 220
Glendale, CA 91203-2595
Other providers in Glendale, CA
- Tegmine Ovsepian
- Alisa Ovsepyan
- Stephen Gerald Owens
- Oxnard Home Health Care, Inc.
- Michael Ozuna
- P.C. Medical Clinic
- Angel P Pabalan Jr.
- Pablo Bassuk M D Inc
- Esteban Pablo
- Krianna Pablo
All providers in Glendale, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.