Active NPI
Gifted Arms Inc.
Doing business as Gifted Arms Home Healthcare Services
- Home Health Agency
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000057
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08339F | Medicaid | CA |
Other names 1
- Gifted Arms Home Healthcare Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Ownership
- Proprietary
- Certified
- Mar 25, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1048017 | Gifted Arms Home Healthcare Services | Certificate of waiver | Nov 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Glenn R Gordo | Operational/Managerial Control | Sep 5, 2017 | 100% |
| Ferdinand a Manzana | 5% Or Greater Direct Ownership Interest | May 5, 2010 | 100% |
| Corporate Officer | May 5, 2010 | 100% | |
| W-2 Managing Employee | May 5, 2010 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- La Habra Heights, CA
- NPI 1881617397
Home health agency
-
- Cardiovascular Disease Physician
- Bakersfield, CA
- NPI 1730142993
Home health agency
-
- Infectious Disease Physician
- Bakersfield, CA
- NPI 1841216405
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.