Organization Active NPI

Dakmen Home Healthcare Agency LLC

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1518530898
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DAKMEN HOME HEALTHCARE AGENCY LLC
Practice address
7600 N Ingram Ave Ste 224
Fresno, CA 93711-5824
Phone
(559) 478-4270
NPI assigned
Jul 23, 2021
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Sarah Mensah, PHARMD
Title
Chief Executive Officer
Phone
(774) 253-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7600 N Ingram Ave Ste 224
Fresno, CA 93711-5824

Mailing address

7600 N Ingram Ave Ste 224
Fresno, CA 93711-5824
Phone (559) 478-4270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230825000400 CA Part A Provider - Home Health Agency 4587027412 Practice locations: Fresno, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518530898. Details of each certification follow.

Home health agency certification: CCN 757832

Legal name
DAKMEN HOME HEALTHCARE AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2024
Last certification
Nov 22, 2024
Organization structure
LLCProprietary
Incorporated
Jul 22, 2021 in CA
Enrollment address
7600 N Ingram Ave
Ste 224
Fresno, CA 93711-5824

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dakmen Home Healthcare Agency, LLCCCN 757832 · All quality measures
Ownership
-
Certified
Nov 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

180 W Bullard Ave
Clovis, CA 93612
Phone (559) 203-3775

7600 N Ingram Ave
Ste 224
Fresno, CA 93711
Phone (559) 478-4270

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
Sarah Mensah Individual 5% Or Greater Direct Ownership InterestOwner/President/Alt. Administrator Jul 22, 2021 100%
Corporate DirectorOwner/President/Alt. Administrator Jul 22, 2021 100%
W-2 Managing EmployeeOwner/President/Alt. Administrator Jul 22, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1518530898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N INGRAM AVE STE 224",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115824",
            "telephone_number": "559-478-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N INGRAM AVE STE 224",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115824",
            "telephone_number": "559-478-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKMEN HOME HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "774-253-2935",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.