Organization Active NPI

Heelas Health Care Services Inc

  • Home Health Agency
  • San Leandro, CA
National Provider Identifier
1457617359
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEELAS HEALTH CARE SERVICES INC
Practice address
2777 Alvarado St
Suite G
San Leandro, CA 94577-5701
Phone
(510) 684-4042
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Uchechi Esomonu
Title
President
Phone
(510) 684-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2777 Alvarado St
Suite G
San Leandro, CA 94577-5701

Mailing address

2777 Alvarado St
Suite G
San Leandro, CA 94577-5701
Phone (510) 684-4042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000471 CA Part A Provider - Home Health Agency 5092966721 Practice locations: San Leandro, CA

Home health agency certification: CCN 059527

Legal name
HEELAS HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 2, 2013
Last certification
May 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 2, 2012 in CA
Enrollment address
2777 Alvarado St
# B
San Leandro, CA 94577-5701
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heelas Health Care Services IncCCN 059527
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 2, 2013
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
05D2048799Heelas Health Care Services Inc2777 Alvarado St Ste B, San Leandro, CA 94577Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

2777 Alvarado St
#B
San Leandro, CA 94577
Phone (510) 244-2401

2777 Alvarado St
Ste G
San Leandro, CA 94577
Phone (510) 684-4042

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
Uchechi O Esomonu Individual 5% Or Greater Direct Ownership Interest Mar 2, 2012 100%
Corporate DirectorPresident, Treasurer, Admin. Mar 2, 2012 100%
W-2 Managing EmployeePresident, Treasurer, Admin. Mar 2, 2012 50%
Kim Fletcher Individual W-2 Managing EmployeeDir. of Nursing/Alternate Admin. Mar 2, 2012 50%

Practitioners & affiliated clinicians

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": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1457617359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 ALVARADO ST",
            "address_2": "SUITE G",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775701",
            "telephone_number": "510-684-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 ALVARADO ST",
            "address_2": "SUITE G",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775701",
            "telephone_number": "510-684-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEELAS HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "ESOMONU",
        "authorized_official_first_name": "UCHECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-684-4042"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.