NPIMap

Organization Active NPI

Peace Home Health

  • Home Health Agency
  • Torrance, CA
National Provider Identifier
1487968749
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACE HOME HEALTH
Practice address
2420 W. Carson St
Suite 200
Torrance, CA 90501
Phone
(310) 212-6200
Fax
(310) 212-6271
NPI assigned
Jul 28, 2010
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Mrs. Christiana Olukemi Ogunlade, D.ONPI 1124152947
Title
Owner
Phone
(310) 218-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2420 W. Carson St
Suite 200
Torrance, CA 90501

Mailing address

2420 W. Carson St
Suite 200
Torrance, CA 90501
Phone (310) 212-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000599 CA Part A Provider - Home Health Agency 4486779238 Practice locations: Torrance, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487968749. Details of each certification follow.

Home health agency certification: CCN 059520

Legal name
PEACE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2013
Last certification
May 9, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 14, 2015 in CA
Enrollment address
2420 W Carson St
Ste 200
Torrance, CA 90501-3166
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peace Home HealthCCN 059520 · All quality measures
Ownership
Proprietary
Certified
Apr 1, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Peace Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2420 W Carson St
Ste 200
Torrance, CA 90501
Phone (310) 212-6200

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christiana O Ogunlade Individual 5% Or Greater Direct Ownership Interest Aug 10, 2010
W-2 Managing Employee Aug 10, 2010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1487968749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W. CARSON ST",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-212-6200",
            "fax_number": "310-212-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W. CARSON ST",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-212-6200",
            "fax_number": "310-212-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "OLUKEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-218-2992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.