Second Wind Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SECOND WIND HOME HEALTH, INC.

Practice address

100 N Barranca St Ste 910
West Covina, CA 91791-1634

Phone

(626) 872-0262

Fax

(626) 872-0263

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Maria Teresa Gonzalez

Title

Ceo/Cfo/Secretary

Phone

(626) 872-0262

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757395

Legal name

SECOND WIND HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 7, 2023

Last certification

Aug 17, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 22, 2014 in CA

Enrollment address

100 N Barranca St
Ste 910
West Covina, CA 91791-1634

Listed as

Second Wind Home Health IncCCN 757395

Overall star rating

1.5 of 5

Ownership

-

Certified

Sep 7, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Anjana V. Kamdar, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1346348638

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1467861096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 910",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911634",
            "telephone_number": "626-872-0262",
            "fax_number": "626-872-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 910",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911634",
            "telephone_number": "626-872-0262",
            "fax_number": "626-872-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "626-872-0262",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Schneider
• Candice Schrock, LVN
• Charlene Schultz, PA-C
• Randell Schummers
• SDC Medical Clinic
• Seemio Trading Inc
• Celest Segovia
• Cynthia Sencion
• Senior Health Associates a Professional Corporation
• Nadarajah Senthilkumar, M.D.

• Home Health Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.