Care Link Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3112817 Issued in CA

Legal business name

CARE LINK HOME HEALTH SERVICES, INC.

Practice address

2112 Eastman Ave Ste 110
Ventura, CA 93003-5773

Phone

(805) 650-6305

Fax

(805) 650-6307

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Fides Dalupang Sunga

Title

Administrator

Phone

(805) 650-6305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059633

Legal name

CARE LINK HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 16, 2015

Last certification

Aug 25, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 2, 2012 in CA

Enrollment address

2112 Eastman Ave 110
Ventura, CA 93003-5773

Listed as

Care Link Home Health Services, IncCCN 059633

Ownership

Proprietary

Certified

Mar 16, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

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.

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1508164625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 EASTMAN AVE STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035773",
            "telephone_number": "805-650-6305",
            "fax_number": "805-650-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 EASTMAN AVE STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035773",
            "telephone_number": "805-650-6305",
            "fax_number": "805-650-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE LINK HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "FIDES",
        "authorized_official_middle_name": "DALUPANG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-650-6305",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "3112817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ventura, CA
• Providers in Ventura, 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 Oct 29, 2013; 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.