Active NPI
Acknowledge Home Health, Inc.
- Home Health Agency
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001587
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Apr 10, 2003 in CA
- Enrollment address
- 13624 Hawthorne Blvd
Ste 210
Hawthorne, CA 90250-5818
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Acknowledge Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 27, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1018472 | Acknowledge Home Health Inc | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Yvette Marie Ribancos-Muller | Corporate Officer | Apr 10, 2003 | 25% |
| W-2 Managing Employee | Apr 10, 2003 | 25% | |
| Operational/Managerial Control | Apr 10, 2003 | 25% | |
| Arsenia Ribancos | 5% Or Greater Direct Ownership Interest | Apr 10, 2003 | 50% |
| Corporate Officer | Apr 10, 2003 | 50% | |
| W-2 Managing Employee | Apr 10, 2003 | 50% | |
| Operational/Managerial Control | Apr 10, 2003 | 50% | |
| Virgilio Ribancos | 5% Or Greater Direct Ownership Interest | Apr 10, 2003 | 50% |
| Corporate Officer | Apr 10, 2003 | 25% | |
| W-2 Managing Employee | Apr 10, 2003 | 25% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.