Comprehensive Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPREHENSIVE HEALTH CARE SERVICES LLC

Practice address

512 E Wilson Ave Ste 200a
Glendale, CA 91206-4351

Phone

(818) 549-0683

Fax

(818) 243-3856

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Santiago J Rodriguez Jiron

Title

President/Ceo

Phone

(818) 945-5619

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559160

Legal name

COMPREHENSIVE HEALTH CARE SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 22, 2020

Last certification

Jan 22, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

512 E Wilson Ave
Ste 200a
Glendale, CA 91206-4324
HHA Branch

Listed as

Comprehensive Health Care Services LLCCCN 559160

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jan 22, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1457780561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 200A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "818-549-0683",
            "fax_number": "818-243-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 200A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "818-549-0683",
            "fax_number": "818-243-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ JIRON",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-945-5619"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.homehealthmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "512 E Wilson Ave Ste 200A",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912064351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.