Active NPI
St. Joseph Health System Home Care Services LLC
Doing business as Providence Home Health Orange County South
- Home Health Agency
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060000878
- 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, 2025
- 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
- Donald W Anderson Jr.
- Title
- Assistant Secretary Enrollment
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Sep 29, 2025 | Change of Ownership | Providence at Home With Compassus Home Health, Orange County South |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Providence at Home with Compassus Home Health, Orange County South
- Home Health Agency
- Irvine, CA
- NPI 1396567533
Sold to, 2025-09-29
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.
-
- Anesthesiology Physician
- Newport Beach, CA
- NPI 1407896665
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
- Sarajean St John
- St Joseph Health System Home Care Services LLC (Providence Hospice Orange County South)
- St Joseph Heritage Healthcare
- St Jude Hospital Yorba Linda, Inc. (St Joseph Heritage Healthcare)
- St. Bernardine Hospice Care Inc.
- St. Jude Hospital Yorba Linda (Masimo Wellness Center)
- St. Jude Hospital Yorba Linda (Wellness-Jamboree Center)
- St. Jude Hospital Yorba Linda (DRIVE Wellness Center)
- St. Jude Hospital Yorba Linda (Wellness-Village)
- St. Jude Hospital Yorba Linda (Wellness-Park Place)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.