California Nursing Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001645 Issued in CA

Legal business name

CALIFORNIA NURSING CARE SERVICES, INC.

Practice address

4110 Edison Ave Ste 208B
Chino, CA 91710-8410

Phone

(909) 464-0500

Fax

(909) 464-0506

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Jerry Hermogino

Title

President/Ceo

Phone

(909) 569-2401

Specialties & licenses 1

Addresses

Other names 1

• CNC Home Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059423

Legal name

CALIFORNIA NURSING CARE SERVICES INC

Doing business as

CNC HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 26, 2012

Last certification

Aug 23, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 7, 2010 in CA

Enrollment address

4110 Edison Ave
Ste 208B
Chino, CA 91710-8410

Listed as

California Nursing Care Services IncCCN 059423

Ownership

Proprietary

Certified

Jul 26, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

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.

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1508167396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 208B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108410",
            "telephone_number": "909-464-0500",
            "fax_number": "909-464-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 208B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108410",
            "telephone_number": "909-464-0500",
            "fax_number": "909-464-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NURSING CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "HERMOGINO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-569-2401"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNC Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caitlyn Camargo, PA-C
• Amy Cameron, PMHNP-BC

• Home Health Agency in Chino, CA
• Providers in Chino, 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 Jun 17, 2024; 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.