Active NPI
MC Home Health Services, Inc
- Home Health Agency
- Walnut, CA
National Provider Identifier
1528040284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MC HOME HEALTH SERVICES, INC
- Practice address
- 18800 Amar Rd
Suite B-5
Walnut, CA 91789-4166 - Phone
- (626) 854-1450
- Fax
- (626) 854-1451
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marilyn Balauag Cabico, RN
- Title
- Administrator
- Phone
- (626) 854-1450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
18800 Amar Rd
Suite B-5
Walnut, CA 91789-4166
Mailing address
18800 Amar Rd
Suite B-5
Walnut, CA 91789-4166
Phone (626) 854-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021010000021 | CA | Part A Provider - Home Health Agency | 9739096306 | Practice locations: Walnut, CA |
Home health agency certification: CCN 058172
- Legal name
- MC HOME HEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 18, 2003
- Last certification
- Mar 8, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 20, 2012 in CA
- Enrollment address
- 18800 Amar Rd B5
Walnut, CA 91789-7100
Care Compare: Home health agency
Medicare Care Compare- Listed as
- MC Home Health Services, Inc
- Ownership
- Proprietary
- Certified
- Mar 18, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
18800 Amar Rd
Ste A2
Walnut, CA 91789
Phone (626) 854-1450
18800 Amar Rd
Ste B5
Walnut, CA 91789
Phone (626) 667-7837
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Reginald G Cua | 5% Or Greater Direct Ownership Interest | Oct 8, 2012 | 50% |
| Corporate Officer | Oct 8, 2012 | 50% | |
| Corporate Director | Oct 8, 2012 | 50% | |
| W-2 Managing Employee | Oct 8, 2012 | 50% | |
| Operational/Managerial Control | Oct 8, 2012 | 50% | |
| Nicole D Morada | 5% Or Greater Direct Ownership Interest | Oct 8, 2012 | 50% |
| Corporate Officer | Oct 8, 2012 | 50% | |
| Corporate Director | Oct 8, 2012 | 50% | |
| W-2 Managing Employee | Oct 8, 2012 | 50% | |
| Operational/Managerial Control | Oct 8, 2012 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Oxnard, CA
- NPI 1851349047
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184025600000",
"number": "1528040284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18800 AMAR RD",
"address_2": "SUITE B-5",
"city": "WALNUT",
"state": "CA",
"postal_code": "917894166",
"telephone_number": "626-854-1450",
"fax_number": "626-854-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 AMAR RD",
"address_2": "SUITE B-5",
"city": "WALNUT",
"state": "CA",
"postal_code": "917894166",
"telephone_number": "626-854-1450",
"fax_number": "626-854-1451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MC HOME HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2007-07-10",
"status": "A",
"authorized_official_last_name": "CABICO",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "BALAUAG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "626-854-1450",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.