Organization Active NPI

A-1 Home Health Services, Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1467631887
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
050000563 Issued in CA
Legal business name
A-1 HOME HEALTH SERVICES, INC.
Practice address
1407 Kuehner Dr
Simi Valley, CA 93063-4478
Phone
(805) 584-8146
Fax
(805) 584-9424
NPI assigned
Nov 1, 2007
Last updated
Jun 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Leeann Logan
Title
Secretary of the Board of Directors
Phone
(805) 584-8146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 050000563 CA Primary

Addresses

Primary practice location

1407 Kuehner Dr
Simi Valley, CA 93063-4478

Mailing address

1407 Keuher Drive
Simi Valley, CA 93063-4478
Phone (805) 584-8146

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020924000020 CA Part A Provider - Home Health Agency 2769399476 Practice locations: Simi Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467631887. Details of each certification follow.

Home health agency certification: CCN 058118

Legal name
A-1 HOME HEALTH SERVICES, INC.
Doing business as
A-1 HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 3, 2002
Last certification
Apr 26, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 21, 2000 in CA
Enrollment address
1407 Kuehner Dr
Simi Valley, CA 93063-4478

Care Compare: Home health agency

Medicare Care Compare
Listed as
A-1 Home Health Services IncCCN 058118 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 3, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
05D0993671A - 1 Home Health Services Inc1407 Kuehner Dr, Simi Valley, CA 93063Certificate of waiverJan 17, 2027

National Provider Directory

National Provider Directory

Locations

126 N 10th St
Santa Paula, CA 93060
Phone (805) 525-4446

1407 Kuehner Dr
Simi Valley, CA 93063
Phone (805) 584-8146

1919 Williams St
Ste 220
Simi Valley, CA 93065
Phone (805) 584-8146

40 W Easy St
Ste 3
Simi Valley, CA 93065
Phone (805) 584-8146

525 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 584-8146

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anna V. Logan Individual 5% Or Greater Direct Ownership InterestAdministrator/Ceo Apr 21, 2000 100%
Operational/Managerial ControlCeo/Administrator Apr 19, 2000 100%
Lee Ann M Logan Individual Corporate OfficerSecretary Oct 3, 2012
Roy Logan Individual Corporate DirectorClinical Supervisor and Board Me Apr 19, 2000
Rory V Logan Individual W-2 Managing EmployeeOfficer Manager Jun 1, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1467631887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 KEUHER DRIVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634478",
            "telephone_number": "805-584-8146",
            "fax_number": "805-584-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 KUEHNER DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634478",
            "telephone_number": "805-584-8146",
            "fax_number": "805-584-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "SECRETARY OF THE BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "805-584-8146"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "050000563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.