Organization Active NPI

Central Home Health Care Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1467536664
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001501 Issued in CA
Legal business name
CENTRAL HOME HEALTH CARE INC.
Practice address
1016 E Broadway
Suite 205
Glendale, CA 91205-4532
Phone
(818) 500-1254
Fax
(818) 500-1279
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Eleonida P Perido, RNNPI 1730390329
Title
Owner
Phone
(818) 500-1254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001501 CA Primary

Addresses

Primary practice location

1016 E Broadway
Suite 205
Glendale, CA 91205-4532

Mailing address

1016 E Broadway St
Suite 205
Glendale, CA 91205-4536
Phone (818) 500-1254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030103000023 CA Part A Provider - Home Health Agency 7214845288 Practice locations: Glendale, CA

Home health agency certification: CCN 058273

Legal name
CENTRAL HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2004
Last certification
Mar 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
221 S Verdugo Rd
Glendale, CA 91205-1424

Care Compare: Home health agency

Medicare Care Compare
Listed as
Central Home Health Care, IncCCN 058273
Ownership
Proprietary
Certified
Aug 27, 2004
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
05D1006692Central Home Health Care, Inc221 S Verdugo Rd, Glendale, CA 91205Certificate of waiverMar 5, 2026

National Provider Directory

National Provider Directory

Locations

1016 E Broadway
Ste 205
Glendale, CA 91205
Phone (818) 500-1254

221 S Verdugo Rd
Glendale, CA 91205
Phone (818) 500-1254

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
Eleonida P Perido Individual 5% Or Greater Direct Ownership Interest Sep 1, 2005 100%
Corporate OfficerDPCS/Administator Sep 2, 2005 100%
Corporate DirectorDPCS/Administrator Nov 15, 2005 100%
W-2 Managing EmployeeAdministrator/DPCS Sep 1, 2005 100%
Operational/Managerial ControlAdministrator/DPCS Sep 1, 2005 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1467536664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY ST",
            "address_2": "SUITE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054536",
            "telephone_number": "818-500-1254",
            "fax_number": "818-500-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY",
            "address_2": "SUITE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054532",
            "telephone_number": "818-500-1254",
            "fax_number": "818-500-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "PERIDO",
        "authorized_official_first_name": "ELEONIDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-500-1254",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.