Allegiant Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALLEGIANT HEALTHCARE, INC

Practice address

363 S Park Ave Ste 101
Pomona, CA 91766-1560

Phone

(909) 323-4023

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Daniel Hurtado

Title

Ceo/Clinical Manager

Phone

(323) 547-1996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559215

Legal name

ALLEGIANT HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 1, 2020

Last certification

Jun 1, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 21, 2017 in CA

Enrollment address

363 S Park Ave
Ste 101
Pomona, CA 91766-1560

Listed as

Allegiant Healthcare, IncCCN 559215

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jun 1, 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.

Affiliated clinicians 2

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

• Chiantall Anne Olalia Paras, FNP-C

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1194489435

  Home health agency

  Care Compare affiliation
• Wilbert Timothy Tsai, MD

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1013114420

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1477047355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 ALYESKA PL",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S PARK AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661560",
            "telephone_number": "909-323-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/CLINICAL MANAGER",
        "authorized_official_telephone_number": "323-547-1996"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shmenia Allan
• Fran Allas, OTR/L
• Jessica Amber Alle-Corliss, LCSW
• Allen C. Huang. M.D., Inc
• Caroline Allen
• Corie Makana Allen
• Jennaveve A Allen
• Julie Ann Allender, BT

• Home Health Agency in Pomona, CA
• Providers in Pomona, 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 Jun 14, 2018; 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.