NPIMap

Organization Active NPI

Medi-Art Home Health Care, Inc.

Doing business as Active Health Services

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1598174104
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDI-ART HOME HEALTH CARE, INC.
Doing business as
Active Health Services
Practice address
16880 W Bernardo Dr Ste 210
San Diego, CA 92127-1617
Phone
(858) 524-6200
Fax
(833) 741-0813
NPI assigned
Aug 7, 2014
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Niyati Patel
Title
President
Phone
(858) 524-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16880 W Bernardo Dr Ste 210
San Diego, CA 92127-1617

Mailing address

16880 W Bernardo Dr Ste 210
San Diego, CA 92127-1617
Phone (858) 524-6200

Other names 1

  • Active Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908000330 CA Part A Provider - Home Health Agency 5799903662 Practice locations: Montebello, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598174104. Details of each certification follow.

Home health agency certification: CCN 059672

Legal name
MEDI-ART HOME HEALTH CARE INC.
Doing business as
ACTIVE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 15, 2015
Last certification
Aug 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 20, 2014 in CA
Enrollment address
2112 W Whittier Blvd
Montebello, CA 90640-4056

Care Compare: Home health agency

Medicare Care Compare
Listed as
Active Health ServicesCCN 059672 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 15, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2086049Medi-Art Home Health Care Inc16880 W Bernardo Dr Ste 210, San Diego, CA 92127Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

2112 W Whittier Blvd
Montebello, CA 90640
Phone (323) 838-5458

2112 W Whittier Blvd
Ste 201
Montebello, CA 90640

16880 W Bernardo Dr
Ste 210
San Diego, CA 92127
Phone (858) 524-6200

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Niyati Patel Individual 5% Or Greater Direct Ownership Interest May 12, 2023 100%
Corporate OfficerCeo May 12, 2023 100%
Corporate DirectorAdministrator May 12, 2023 100%
W-2 Managing EmployeeAdministrator May 12, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1598174104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16880 W BERNARDO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271617",
            "telephone_number": "858-524-6200",
            "fax_number": "833-741-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16880 W BERNARDO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271617",
            "telephone_number": "858-524-6200",
            "fax_number": "833-741-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-ART HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIYATI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-524-6200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.