Comprehensive Care Home Health Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPREHENSIVE CARE HOME HEALTH AGENCY INC.

Practice address

19112 Gridley Rd Ste 200
Cerritos, CA 90703-6614

Phone

(562) 526-4282

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Patience JacksonNPI 1477413615

Title

Owner

Phone

(310) 908-4099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758116

Legal name

COMPREHENSIVE CARE HOME HEALTH AGENCY INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 8, 2025

Last certification

May 1, 2025

Organization structure

CorporationProprietary

Enrollment address

19112 Gridley Rd
Ste 200
Cerritos, CA 90703-6614

Listed as

Comprehensive Care Home Health Agency Inc.CCN 758116 · All quality measures

Ownership

-

Certified

May 8, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Patience Jackson, RN

  • Registered Nurse
  • Cerritos, CA
  • NPI 1477413615
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1598449019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19112 GRIDLEY RD STE 200",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036614",
            "telephone_number": "562-526-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19112 GRIDLEY RD STE 200",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036614",
            "telephone_number": "562-526-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-908-4099"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.