Simi Plaza Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SIMI PLAZA HOME CARE INC

Doing business as

Simi Plaza Home Care Inc

Practice address

1716 Erringer Rd # 102
Simi Valley, CA 93065-6506

Phone

(818) 919-9191

Fax

(818) 502-9997

NPI assigned

May 24, 2016

Last updated

Apr 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Cerisse Molato

Title

Cfo

Phone

(805) 795-1011

Specialties & licenses 1

Addresses

Other names 1

• Simi Plaza Home Care Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619324241. Details of each certification follow.

• CCN 553173 Home health agency · Active · Details

Home health agency certification: CCN 553173

Legal name

SIMI PLAZA HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 23, 2018

Last certification

Dec 23, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 23, 2016 in CA

Enrollment address

1716 Erringer Rd
Ste 102
Simi Valley, CA 93065-6506

Listed as

Simi Plaza Home Care, IncCCN 553173 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Dec 23, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 2

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

• Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1750519385

  Home health agency

  Care Compare affiliation
• Isabella Possagnoli, MD

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1295231637

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713052800000",
    "number": "1619324241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD # 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656506",
            "telephone_number": "805-795-1011",
            "fax_number": "805-465-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD # 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656506",
            "telephone_number": "818-919-9191",
            "fax_number": "818-502-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI PLAZA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "MOLATO",
        "authorized_official_first_name": "MARIA CERISSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-795-1011"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simi Plaza Home Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simi Health Center a Medical Corp
• Simi Hills Home Care Center LLC
• Simi Medical Group, Inc
• Simi Oaks Inc.
• Simi Obstetrics & Gynecology Medical Group a Medical Corp.
• Simi Primary Care Medical Group Inc (Simi Valley Urgent Care)
• Simi Psychological Group, Apc
• Simi Radiology and Imaging Medical Group
• Simi Regional Urgent Care PC
• Simi Royal Dental Center

• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.