Antelope Valley Hospital District

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANTELOPE VALLEY HOSPITAL DISTRICT

Practice address

44335 Lowtree Ave
Lancaster, CA 93534-4167

Phone

(661) 949-5938

Fax

(661) 951-4248

NPI assigned

May 24, 2005

Last updated

Apr 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patti Sheldon, RN

Title

Administrator

Phone

(661) 949-5938

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ANTELOPE VALLEY HOME CARE Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487657235. Details of each certification follow.

• CCN 057786 Home health agency · Active · Details

Home health agency certification: CCN 057786

Legal name

ANTELOPE VALLEY HEALTH CARE DISTRICT

Doing business as

ANTELOPE VALLEY HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 8, 1987

Last certification

Jul 11, 2019

Ownership / control type

Non-Profit

Organization structure

OtherNon-profit

Enrollment address

44335 Lowtree Ave
Lancaster, CA 93534-4167
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Antelope Valley Health Care District

  dba Antelope Valley Medical Center Infusion

  • Home Infusion Therapy Pharmacy
  • Lancaster, CA
  • NPI 1194433938

  7618886532

  Same PAC ID
• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517

  7618886532

  Same PAC ID

Listed as

Antelope Valley Home CareCCN 057786 · All quality measures

Overall star rating

2.5 of 5

Ownership

Non-Profit

Certified

Oct 8, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Antelope Valley Hosp-ER5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Antelope Valley Health Care District

  dba Antelope Valley Medical Center Infusion

  • Home Infusion Therapy Pharmacy
  • Lancaster, CA
  • NPI 1194433938
  NPD tax ID
• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  NPD tax ID
• Antelope Valley Hospital OB Clinic Lancaster

  • Non-Surgical Family Planning Clinic/Center
  • Lancaster, CA
  • NPI 1528420502
  NPD tax ID
• Antelope Valley Hospital OB Clinic Palmdale

  • Non-Surgical Family Planning Clinic/Center
  • Palmdale, CA
  • NPI 1154783140
  NPD tax ID

Locations

All disclosed owners & managing parties 4

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 2

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

• Abdallah S Farrukh, MD

  • Neurological Surgery Physician
  • Lancaster, CA
  • NPI 1932135266

  Corporate Director

  CMS ownership
• Don Victor Parazo, MD

  • Family Medicine Physician
  • Lancaster, CA
  • NPI 1861505265

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Emery L Chen, M.D.

  • Surgery Physician
  • Palmdale, CA
  • NPI 1922201763

  Home health agency

  Care Compare affiliation
• Atef Mousa, DO

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1891006565

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1487657235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44335 LOWTREE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344167",
            "telephone_number": "661-949-5938",
            "fax_number": "661-951-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44335 LOWTREE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344167",
            "telephone_number": "661-949-5938",
            "fax_number": "661-951-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-949-5938",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07786F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTELOPE VALLEY HOME CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Antelope Valley Healing Center
• Antelope Valley Health Care District (Antelope Valley Medical Center Infusion)
• Antelope Valley Health Care District
• Antelope Valley Histology LLC
• Antelope Valley Hospital
• Antelope Valley Hospital Inc
• Antelope Valley Hospital OB Clinic Lancaster
• Antelope Valley Hospital Physicians Medical Group, PC
• Antelope Valley Inpatient Pediatric Associates, Inc
• Antelope Valley Kidney Institute, a Professional Corporation

• Home Health Agency in Lancaster, CA
• Providers in Lancaster, 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 Apr 7, 2008; 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.