Organization Active NPI

D'Mission Home Health Services, Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1558599571
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Nov 9, 2009 in CA
Enrollment address
1445 E Los Angeles Ave
Ste 301X
Simi Valley, CA 93065-2862
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
D'Mission Home Health Services, Inc.CCN 757208 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Nov 5, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2181824D'Mission Home Health Services, Inc1445 E Los Angeles Ave Ste 301 X, Simi Valley, CA 93065Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Haydee Kabigting Individual 5% Or Greater Direct Ownership InterestDPCS Jan 1, 2009 5%
W-2 Managing EmployeeManaging Employee Jun 3, 2019 10%
Mary Pershica Individual 5% Or Greater Direct Ownership InterestPresident Jan 1, 2009 47%
Josephine Real Individual 5% Or Greater Direct Ownership InterestChief Financial Officer Jan 1, 2009 48%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

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

Verify at the official NPI Registry.