Certified Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CERTIFIED HOME HEALTH CARE, INC

Practice address

6931 Van Nuys Blvd Ste 101a
Van Nuys, CA 91405-3937

Phone

(747) 204-2274

Fax

(747) 201-7479

NPI assigned

Feb 25, 2009

Last updated

Dec 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Carlo Arcenas

Title

Ceo

Phone

(747) 204-2274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558501841. Details of each certification follow.

• CCN 059523 Home health agency · Active · Details

Home health agency certification: CCN 059523

Legal name

CERTIFIED HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 25, 2013

Last certification

Jun 20, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6931 Van Nuys Blvd
Ste 101a
Van Nuys, CA 91405-3937

Listed as

Certified Home Health Care IncCCN 059523 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jul 25, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

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.

• Karl Lexter Reyes

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1275992190
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Venkata S.R. Pulakanti, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1356521843

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1558501841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 101A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053937",
            "telephone_number": "747-204-2274",
            "fax_number": "747-201-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 101A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053937",
            "telephone_number": "747-204-2274",
            "fax_number": "747-201-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ARCENAS",
        "authorized_official_first_name": "JOHN CARLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-204-2274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ann Rachel-Williams Cervantes, OTD
• Emily Kagaoan Cervantes
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• Maria Cervantes
• Joshua Chacon

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.

Verify at the official NPI Registry.