Active NPI
D'Mission Home Health Services, Inc
- Home Health Agency
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- D'MISSION HOME HEALTH SERVICES, INC
- Practice address
- 1445 E Los Angeles Ave Ste 301X
Simi Valley, CA 93065-2862 - Phone
- (805) 624-2539
- Fax
- (818) 280-5879
- NPI assigned
- Jun 29, 2009
- Last updated
- May 24, 2022
- 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. Mary Pershica, LVN
- Title
- Presdent
- Phone
- (805) 624-2539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1445 E Los Angeles Ave Ste 301X
Simi Valley, CA 93065-2862
Mailing address
1445 E Los Angeles Ave Ste 301X
Simi Valley, CA 93065-2862
Phone (805) 624-2539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190620001846 | CA | Part A Provider - Home Health Agency | 4981938222 | Practice locations: Simi Valley, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1558599571. Details of each certification follow.
Home health agency certification: CCN 757208
- Legal name
- D' MISSION HOME HEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 5, 2022
- Last certification
- Oct 25, 2022
- Organization structure
- Corporation
- Incorporated
- Nov 9, 2009 in CA
- Enrollment address
- 1445 E Los Angeles Ave
Ste 301X
Simi Valley, CA 93065-2862
Care Compare: Home health agency
Medicare Care Compare- Listed as
- D'Mission Home Health Services, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Nov 5, 2022
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 05D2181824 | D'Mission Home Health Services, Inc | Certificate of waiver | Apr 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
1445 E Los Angeles Ave
Ste 301X
Simi Valley, CA 93065
Phone (805) 624-2539
4220 E Los Angeles Ave
Ste 202
Simi Valley, CA 93063
Phone (805) 624-2539
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 |
|---|---|---|---|
| Haydee Kabigting | 5% Or Greater Direct Ownership Interest | Jan 1, 2009 | 5% |
| W-2 Managing Employee | Jun 3, 2019 | 10% | |
| Mary Pershica | 5% Or Greater Direct Ownership Interest | Jan 1, 2009 | 47% |
| Josephine Real | 5% Or Greater Direct Ownership Interest | Jan 1, 2009 | 48% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Northridge, CA
- NPI 1861526451
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1558599571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 E LOS ANGELES AVE STE 301X",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652862",
"telephone_number": "805-624-2539",
"fax_number": "818-280-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 E LOS ANGELES AVE STE 301X",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652862",
"telephone_number": "805-624-2539",
"fax_number": "818-280-5879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D'MISSION HOME HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-29",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "PERSHICA",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESDENT",
"authorized_official_telephone_number": "805-624-2539",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.