NPIMap

Organization Active NPI

Verdugo Hills Home Care Inc

  • Home Health Agency
  • La Crescenta, CA
National Provider Identifier
1467606582
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VERDUGO HILLS HOME CARE INC
Practice address
2600 Foothill Blvd
Suite 201
La Crescenta, CA 91214-3588
Phone
(818) 542-6600
NPI assigned
Nov 17, 2008
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Katherine Dongsun Ku, RN
Title
President
Phone
(818) 542-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2600 Foothill Blvd
Suite 201
La Crescenta, CA 91214-3588

Mailing address

2600 Foothill Blvd
Suite 201
La Crescenta, CA 91214-3588
Phone (818) 542-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000340 CA Part A Provider - Home Health Agency 7416013669 Practice locations: La Crescenta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467606582. Details of each certification follow.

Home health agency certification: CCN 557407

Legal name
VERDUGO HILLS HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 27, 1994
Last certification
Sep 12, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 1, 2008 in CA
Enrollment address
2600 Foothill Blvd
Ste 201
La Crescenta, CA 91214-4578
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Verdugo Hills Home Care, IncCCN 557407 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 27, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2600 Foothill Blvd
Ste 201
La Crescenta, CA 91214
Phone (818) 542-6600

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
Katherine Ku Individual 5% Or Greater Direct Ownership InterestPresident Dec 1, 2009 95%
W-2 Managing Employee Dec 1, 2009
Sung Ku Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Dec 1, 2009 5%
Corporate Director Dec 1, 2009
W-2 Managing Employee Dec 1, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1467606582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD",
            "address_2": "SUITE 201",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143588",
            "telephone_number": "818-542-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD",
            "address_2": "SUITE 201",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143588",
            "telephone_number": "818-542-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO HILLS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DONGSUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-542-6600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.