Organization Active NPI

Gifted Arms Inc.

Doing business as Gifted Arms Home Healthcare Services

  • Home Health Agency
  • Bakersfield, CA
National Provider Identifier
1487670501
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000057 Issued in CA
Legal business name
GIFTED ARMS INC.
Doing business as
Gifted Arms Home Healthcare Services
Practice address
1400 Easton Dr Ste 141
Bakersfield, CA 93309-9404
Phone
(661) 322-9207
Fax
(661) 322-9208
NPI assigned
Jul 14, 2006
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Mr. Ramon Ronquillo
Title
Ceo
Phone
(661) 322-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000057 CA Primary

Addresses

Primary practice location

1400 Easton Dr Ste 141
Bakersfield, CA 93309-9404

Mailing address

1400 Easton Dr Ste 141
Bakersfield, CA 93309-9404
Phone (661) 322-9207

Other identifiers 1

IdentifierTypeStateIssuer
HHA08339FMedicaidCA

Other names 1

  • Gifted Arms Home Healthcare Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000658 CA Part A Provider - Home Health Agency 5496712861 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487670501. Details of each certification follow.

Home health agency certification: CCN 059248

Legal name
GIFTED ARMS INC.
Doing business as
GIFTED ARMS HOME HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 25, 2010
Last certification
Oct 30, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 4, 2004 in CA
Enrollment address
1400 Easton Dr
Ste 141
Bakersfield, CA 93309-9404

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gifted Arms Home Healthcare ServicesCCN 059248 · All quality measures
Ownership
Proprietary
Certified
Mar 25, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1048017Gifted Arms Home Healthcare Services1400 Easton Dr, Unit 141, Bakersfield, CA 93309Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Locations

1400 Easton Dr
Ste 141
Bakersfield, CA 93309
Phone (661) 322-9207

1701 Westwind Dr
Ste 106
Bakersfield, CA 93301
Phone (661) 323-3100

Ownership & related parties

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.

NameRoleSinceShare
Glenn R Gordo Individual Operational/Managerial ControlAdministrator Sep 5, 2017 100%
Ferdinand a Manzana Individual 5% Or Greater Direct Ownership Interest May 5, 2010 100%
Corporate OfficerCeo May 5, 2010 100%
W-2 Managing EmployeeCeo May 5, 2010 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1487670501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EASTON DR STE 141",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099404",
            "telephone_number": "661-322-9207",
            "fax_number": "661-322-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EASTON DR STE 141",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099404",
            "telephone_number": "661-322-9207",
            "fax_number": "661-322-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED ARMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "RONQUILLO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-322-9207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08339F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gifted Arms Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gifted Arms Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.