NPIMap

Organization Active NPI

Agapecare Home Health Inc

  • Home Health Agency
  • Rocklin, CA
National Provider Identifier
1558660209
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AGAPECARE HOME HEALTH INC
Practice address
5701 Lonetree Blvd
Suite 103
Rocklin, CA 95765-3772
Phone
(916) 580-1730
NPI assigned
Mar 21, 2011
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Mr. Pacifico Mapanao
Title
Administrator
Phone
(916) 303-0106

Specialties & licenses 1

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

Addresses

Primary practice location

5701 Lonetree Blvd
Suite 103
Rocklin, CA 95765-3772

Mailing address

5701 Lonetree Blvd
Suite 103
Rocklin, CA 95765-3772
Phone (916) 580-1730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170505001957 CA Part A Provider - Home Health Agency 2961789656 Practice locations: Rocklin, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558660209. Details of each certification follow.

Home health agency certification: CCN 053160

Legal name
AGAPECARE HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 23, 2018
Last certification
Apr 6, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 19, 2011 in CA
Enrollment address
5701 Lonetree Blvd
Ste 317
Rocklin, CA 95765-3798

Care Compare: Home health agency

Medicare Care Compare
Listed as
Agapecare Home Health, IncCCN 053160 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 23, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5701 Lonetree Blvd
Ste 103
Rocklin, CA 95765
Phone (916) 580-1730

5701 Lonetree Blvd
Ste 317
Rocklin, CA 95765
Phone (916) 580-1730

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Michelle Guanzon Individual 5% Or Greater Direct Ownership InterestOwner Sep 30, 2020 11%
Corporate DirectorBoard Member, Board Secretary Aug 1, 2022 11%
W-2 Managing EmployeeAlt and Asst Administrator/Rehab Aug 1, 2022 11%
Augustine Deguzman Individual 5% Or Greater Direct Ownership InterestOwner Jan 19, 2011 10%
Corporate OfficerCfo Feb 1, 2022 10%
Corporate DirectorBoard Member Jan 19, 2011 10%
Darryl Chad Lorenzana Individual 5% Or Greater Direct Ownership Interest Sep 30, 2020 15%
Corporate DirectorBoard Member Sep 2, 2020 15%
W-2 Managing EmployeeMarketing Director Aug 1, 2022 15%
Geraldine Deguzman Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2020 27%
Corporate DirectorBoard Member Aug 1, 2022 27%
W-2 Managing EmployeeDirector for Patient Care Servic Aug 1, 2022 27%
Pacifico Mapanao Individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 27%
Corporate OfficerCeo Feb 1, 2022 27%
Corporate DirectorChariman of the Board Aug 1, 2022 27%
W-2 Managing EmployeeAdministrator Aug 1, 2022 27%
Mignon Mapanao Individual 5% Or Greater Direct Ownership Interest Aug 1, 2022 10%
Corporate DirectorBoard Member Aug 1, 2022 10%

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1558660209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD",
            "address_2": "SUITE 103",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653772",
            "telephone_number": "916-580-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD",
            "address_2": "SUITE 103",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653772",
            "telephone_number": "916-580-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPECARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "MAPANAO",
        "authorized_official_first_name": "PACIFICO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-303-0106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.