Organization Active NPI

Care Unlimited Health Services,Inc.

  • Home Health Agency
  • Glendora, CA
National Provider Identifier
1548296858
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000852 Issued in CA
Legal business name
CARE UNLIMITED HEALTH SERVICES,INC.
Practice address
1025 W Arrow Hwy Ste 105
Glendora, CA 91740-5407
Phone
(626) 332-3767
Fax
(626) 332-9799
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Carol J Wedderburn
Title
Administrator
Phone
(626) 332-3767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000852 CA Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1025 W Arrow Hwy Ste 105
Glendora, CA 91740-5407

Mailing address

1025 W Arrow Hwy
Suite 105
Glendora, CA 91740-5450
Phone (626) 332-3767

Other identifiers 1

IdentifierTypeStateIssuer
HHA08116FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021001000014 CA Part A Provider - Home Health Agency 5597672287 Practice locations: Glendora, CA

Home health agency certification: CCN 058116

Legal name
CARE UNLIMITED HEALTH SERVICES,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 13, 2002
Last certification
Dec 9, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2001 in CA
Enrollment address
1025 W Arrow Hwy
Ste 105
Glendora, CA 91740-5407

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Unlimited Health Services, IncCCN 058116 · All quality measures
Ownership
Non-Profit
Certified
May 13, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rossanna Estacio Wilwerding Individual W-2 Managing EmployeeDirector of Patient Care Service Jun 16, 2016 100%
Carol J Wedderburn Individual 5% Or Greater Direct Ownership Interest Jun 16, 2016 100%
Corporate OfficerPresident/Ceo Jun 16, 2016 100%
Corporate DirectorBoard Member Jun 16, 2016 100%
W-2 Managing EmployeeAdministrator Jun 16, 2016 100%
Rodolfo Protacio Individual Corporate DirectorMedical Director Jun 16, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1548296858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W ARROW HWY",
            "address_2": "SUITE 105",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405450",
            "telephone_number": "626-332-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W ARROW HWY STE 105",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405407",
            "telephone_number": "626-332-3767",
            "fax_number": "626-332-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE UNLIMITED HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "WEDDERBURN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-332-3767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000852",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08116F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.