Anita Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANITA HOME HEALTH, INC.

Practice address

201 S Anita Dr
Suite 104
Orange, CA 92868-3316

Phone

(818) 370-4004

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Osamamwode Sunday Ogbeiwi, NPNPI 1609047166

Title

Authorized Official/President/Ceo (

Phone

(714) 709-3154

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757028

Legal name

ANITA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 7, 2020

Last certification

Jul 30, 2020

Organization structure

CorporationProprietary

Incorporated

Apr 19, 2017

Enrollment address

11100 Valley Blvd
Ste 342
El Monte, CA 91731-2533

Listed as

Anita Home Health, Inc.CCN 757028

Ownership

-

Certified

Aug 7, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Osamamwode Sunday Ogbeiwi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brea, CA
  • NPI 1609047166

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Osamamwode Sunday Ogbeiwi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brea, CA
  • NPI 1609047166
  NPD Authorized official

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1477088037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD, SUITE 342",
            "address_2": "SUITE 342",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312500",
            "telephone_number": "626-532-8957",
            "fax_number": "626-532-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ANITA DR",
            "address_2": "SUITE 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683316",
            "telephone_number": "818-370-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "OGBEIWI",
        "authorized_official_first_name": "OSAMAMWODE",
        "authorized_official_middle_name": "SUNDAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PRESIDENT/CEO (",
        "authorized_official_telephone_number": "714-709-3154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Angulo
• Isabella Clairie Angulo
• Anh Tran & Trang Tran, D.D.S. Inc
• Fiyinfoluwa Kolawole Ani, M.D.
• Isabelle Anillo
• Anita Hospice. Inc.
• Anita K. Gregory, M.D. Apc
• Farzana Anjum
• Lars Anker, MD
• Dennis Ankrah

• Home Health Agency in Orange, CA
• Providers in Orange, 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 Sep 3, 2019; 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.