Sante Home Health Inc
Organization Active NPI Home Health Agency · Diamond Bar, CA
NPI 1487100103 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1487100103
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- SANTE HOME HEALTH INC
- Practice address
- 21660 Copley Dr Ste 185
Diamond Bar, CA 91765-4109 - Phone
- (888) 678-3040
- Fax
- (323) 576-4545
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Allan Estudillo
- Title
- Ceo
- Phone
- (888) 678-3040
Affiliated clinicians 13
-
Ebram Abdelmalak, DPM
-
Rajiv H Bhuva, M.D.
-
Meisam Fekri, M.D
-
Levon Haik Gazarian, M.D
-
Iftikhar Abrar Khan, M. D.
-
Sanjay Natverlal Khedia, M.D.
-
Cynthia Lopez, NP
-
Ankur Dilip Patel, M.D.
-
Chia-Ding Shih, MA, DPM
-
Jhujhar Singh, DO
-
Paul Yang, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Sante Home Health, Inc
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- May 2, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2153540 | Sante Home Health Inc | Certificate of waiver | Aug 26, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 559040
- Legal name
- SANTE HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 2, 2019
- Last certification
- Apr 1, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jun 14, 2016 in CA
- Enrollment address
- 21660 Copley Dr
Ste 185
Diamond Bar, CA 91765-4109
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Divina B Morales |
W-2 Managing Employee |
Apr 1, 2023 | 100% |
| Operational/Managerial Control |
Apr 1, 2023 | 100% | |
| Patrick D Estudillo |
5% Or Greater Direct Ownership Interest |
Apr 1, 2023 | 50% |
| Corporate Officer |
Apr 1, 2023 | 50% | |
| Corporate Director |
Apr 1, 2023 | 50% | |
| W-2 Managing Employee |
Apr 1, 2023 | 50% | |
| Allan M Estudillo |
5% Or Greater Direct Ownership Interest |
Apr 1, 2023 | 50% |
| Corporate Officer |
Apr 1, 2023 | 50% | |
| Corporate Director |
Apr 1, 2023 | 50% | |
| W-2 Managing Employee |
Apr 1, 2023 | 50% | |
| Operational/Managerial Control |
Apr 1, 2023 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180104000192 | CA | Part a Provider - Home Health Agency | 9931467529 | Practice locations: Diamond Bar, CA |
National Provider Directory
Locations
500 N 1st Ave
Ste 8
Arcadia, CA 91006
Phone (626) 445-0555
21660 Copley Dr
Ste 185
Diamond Bar, CA 91765
Phone (888) 678-3040
14621 Nordhoff St
Ste 1D
Panorama City, CA 91402
Phone (888) 678-3040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
21660 Copley Dr Ste 185
Diamond Bar, CA 91765-4109
Mailing address
14621 Nordhoff St.
Suite 1D
Panorama City, CA 91402-1829
Phone (888) 678-3040
NPI Registry JSON
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1487100103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14621 NORDHOFF ST.",
"address_2": "SUITE 1D",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914021829",
"telephone_number": "888-678-3040",
"fax_number": "323-576-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21660 COPLEY DR STE 185",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654109",
"telephone_number": "888-678-3040",
"fax_number": "323-576-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTE HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "ESTUDILLO",
"authorized_official_first_name": "ALLAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-678-3040",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
- Sherif Shokry Samuel
- Katherine Sander
- Sang Tran MD PC
- Sanjay Doshi
- Sanjay Merchant DDS Inc
- Noel Legarta Santillan
- Gizelle Santos
- Joanne Santos
- Vimal Naranbhai Satodiya
- Saturn Home Care Services Inc
All providers in Diamond Bar, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.