Fine Home Health, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HPC01731F Issued in CA

Legal business name

FINE HOME HEALTH, INC.

Practice address

2250 Obispo Ave Ste 101
Signal Hill, CA 90755-4027

Phone

(562) 424-9405

Fax

(562) 988-6831

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Lydia Chin, RN

Title

Administrator

Phone

(562) 424-9405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOMEREACH HOSPICE & NURSING Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 051731

Legal name

FINE HOME HEALTH, INC.

Doing business as

HOMEREACH HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 2, 1999

Last certification

Dec 17, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 23, 1998 in CA

Enrollment address

2250 Obispo Avenue
Suite 101
Signal Hill, CA 90755-4027

Listed as

Homereach HospiceCCN 051731

Ownership

For-Profit

Certified

Jun 2, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Luzviminda T. Montecillo, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1447348149

  Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Jennifer Chin, RN

  • Registered Nurse
  • Signal Hill, CA
  • NPI 1578326963
  NPD

Affiliated clinicians 1

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

• Luzviminda T. Montecillo, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1447348149

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1477584126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 OBISPO AVE STE 101",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907554027",
            "telephone_number": "562-424-9405",
            "fax_number": "562-988-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 OBISPO AVE STE 101",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907554027",
            "telephone_number": "562-424-9405",
            "fax_number": "562-988-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-424-9405",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "HPC01731F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01731F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMEREACH HOSPICE & NURSING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOMEREACH HOSPICE & NURSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.