Organization Active NPI

St. Joseph Health System Home Care Services LLC

Doing business as Providence Home Health Orange County South

  • Home Health Agency
  • Irvine, CA
National Provider Identifier
1538347646
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060000878 Issued in CA
Legal business name
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Doing business as
Providence Home Health Orange County South
Practice address
38 Executive Park Ste 390
Irvine, CA 92614-4730
Phone
(714) 975-8011
NPI assigned
Jan 31, 2008
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary Enrollment
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060000878 CA Primary

Addresses

Primary practice location

38 Executive Park Ste 390
Irvine, CA 92614-4730

Mailing address

38 Executive Park Ste 390
Irvine, CA 92614-4730
Phone (714) 975-8011

Other names 1

  • PROVIDENCE HOME HEALTH ORANGE COUNTY SOUTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2755 Bristol St
Ste 275
Costa Mesa, CA 92626
Phone (714) 975-8011

3345 Michelson Dr
Ste 305
Irvine, CA 92612
Phone (714) 975-8011

38 Executive Park
Ste 390
Irvine, CA 92614
Phone (714) 975-8011

26941 Cabot Rd
Ste 123
Laguna Hills, CA 92653
Phone (949) 348-0927

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 29, 2025 Change of OwnershipThis provider was the seller Providence at Home With Compassus Home Health, Orange County SouthCCN 058238, CA, NPI 1396567533

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1538347646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE PARK STE 390",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144730",
            "telephone_number": "714-975-8011",
            "fax_number": "714-975-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE PARK STE 390",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144730",
            "telephone_number": "714-975-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE HOME HEALTH ORANGE COUNTY SOUTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROVIDENCE HOME HEALTH ORANGE COUNTY SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.