Organization Active NPI

Perfect Alliance Home Health, Inc.

  • Home Health Agency
  • Fountain Valley, CA
National Provider Identifier
1518633742
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERFECT ALLIANCE HOME HEALTH, INC.
Practice address
17151 Newhope St Ste 110
Fountain Valley, CA 92708-4226
Phone
(714) 788-5689
NPI assigned
Aug 18, 2021
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AA INVESTMENT GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Tan Van Pham
Title
Ceo
Phone
(714) 788-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17151 Newhope St Ste 110
Fountain Valley, CA 92708-4226

Mailing address

17151 Newhope St Ste 110
Fountain Valley, CA 92708-4226
Phone (714) 788-5689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220711001383 CA Part A Provider - Home Health Agency 1456731207 Practice locations: Fountain Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518633742. Details of each certification follow.

Home health agency certification: CCN 757205

Legal name
PERFECT ALLIANCE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 6, 2023
Last certification
Mar 2, 2023
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Enrollment address
17151 Newhope St
Ste 110
Fountain Valley, CA 92708-4226

Care Compare: Home health agency

Medicare Care Compare
Listed as
Perfect Alliance Home Health, Inc.CCN 757205 · All quality measures
Overall star rating
4.5 of 5
Ownership
-
Certified
Mar 6, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2341463Perfect Alliance Home Health, Inc17151 Newhope St, Ste 110, Fountain Valley, CA 92708Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

17151 Newhope St
Ste 110
Fountain Valley, CA 92708
Phone (714) 788-5689

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
Ngoc H Le Individual 5% Or Greater Direct Ownership Interest Apr 6, 2026 100%
Corporate OfficerCeo/Pres/Cfo/Sec/100% Direct Own Apr 6, 2026 100%
Corporate DirectorCeo/Pres/Cfo/Sec/100% Direct Own Apr 6, 2026 100%
W-2 Managing EmployeeCeo/Pres/Cfo/Sec Apr 6, 2026 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1518633742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17151 NEWHOPE ST STE 110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084226",
            "telephone_number": "714-788-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17151 NEWHOPE ST STE 110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084226",
            "telephone_number": "714-788-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT ALLIANCE HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AA INVESTMENT GROUP, INC.",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TAN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-788-5689"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.