Organization Active NPI

Acknowledge Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1548462971
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001587 Issued in CA
Legal business name
ACKNOWLEDGE HOME HEALTH, INC.
Practice address
4220 W 3Rd St Ste 207
Los Angeles, CA 90020-3450
Phone
(213) 389-2100
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Mrs. Arsenia M Ribancos, RN, BSN
Title
Ceo
Phone
(213) 389-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001587 CA Primary

Addresses

Primary practice location

4220 W 3Rd St Ste 207
Los Angeles, CA 90020-3450

Mailing address

4220 W 3Rd St Ste 207
Los Angeles, CA 90020-3450
Phone (213) 389-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030708000051 CA Part A Provider - Home Health Agency 1052221900 Practice locations: Hawthorne, CA

Home health agency certification: CCN 059002

Legal name
ACKNOWLEDGE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 27, 2008
Last certification
Jul 30, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 10, 2003 in CA
Enrollment address
13624 Hawthorne Blvd
Ste 210
Hawthorne, CA 90250-5818
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Acknowledge Home Health, IncCCN 059002 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 27, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1018472Acknowledge Home Health Inc13624 Hawthorne Blvd Suite # 210, Hawthorne, CA 90250Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

13624 Hawthorne Blvd
Ste 210
Hawthorne, CA 90250
Phone (310) 679-1040

4220 W 3rd St
Ste 207
Los Angeles, CA 90020
Phone (213) 389-2100

3960 Wilshire Blvd
#406
Los Angeles, CA 90010
Phone (213) 389-2100

3415 S Sepulveda Blvd
#205
Los Angeles, CA 90034
Phone (310) 397-1405

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
Yvette Marie Ribancos-Muller Individual Corporate OfficerBoard Member - Cfo Apr 10, 2003 25%
W-2 Managing EmployeeDirector of BSNS. Operations Apr 10, 2003 25%
Operational/Managerial ControlDirector of BSNS. Operations Apr 10, 2003 25%
Arsenia Ribancos Individual 5% Or Greater Direct Ownership Interest Apr 10, 2003 50%
Corporate OfficerCeo, Board Member - President Apr 10, 2003 50%
W-2 Managing EmployeeAdministrator Apr 10, 2003 50%
Operational/Managerial ControlAdministrator Apr 10, 2003 50%
Virgilio Ribancos Individual 5% Or Greater Direct Ownership Interest Apr 10, 2003 50%
Corporate OfficerBoard Member - Secretary Apr 10, 2003 25%
W-2 Managing EmployeeRN Clinical Field Supervisor Apr 10, 2003 25%
Operational/Managerial ControlRN Clinical Field Supervisor Apr 10, 2003 25%

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1548462971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-389-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-389-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKNOWLEDGE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "RIBANCOS",
        "authorized_official_first_name": "ARSENIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-389-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.