Active NPI
Essential Home Health Care Corp.
- Home Health Agency
- Tarzana, CA
National Provider Identifier
1619566528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ESSENTIAL HOME HEALTH CARE CORP.
- Practice address
- 18344 Oxnard St Ste 204
Tarzana, CA 91356-6773 - Phone
- (818) 600-8617
- NPI assigned
- Jan 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Llorens Pembrook, RN
- Title
- President
- Phone
- (818) 600-8617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
18344 Oxnard St Ste 204
Tarzana, CA 91356-6773
Mailing address
18344 Oxnard St Ste 204
Tarzana, CA 91356-6773
Phone (818) 387-8680
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.essential-hhc.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220426000243 | CA | Part A Provider - Home Health Agency | 9032506803 | Practice locations: Tarzana, CA |
Home health agency certification: CCN 753150
- Legal name
- ESSENTIAL HOME HEALTH CARE CORP.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 9, 2022
- Last certification
- Jul 26, 2022
- Organization structure
- Corporation
- Incorporated
- Nov 10, 2020 in CA
- Enrollment address
- 18344 Oxnard St
Ste 204
Tarzana, CA 91356-6773
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Essential Home Health Care Corp.
- Overall star rating
- Ownership
- -
- Certified
- Aug 9, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
18344 Oxnard St
Ste 204
Tarzana, CA 91356
Phone (818) 600-8617
15904 Strathern St
Ste 23
Van Nuys, CA 91406
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jordan Pembrook | 5% Or Greater Direct Ownership Interest | Nov 7, 2020 | 50% |
| Corporate Officer | Nov 7, 2020 | 50% | |
| Corporate Director | Nov 7, 2020 | 50% | |
| W-2 Managing Employee | Nov 7, 2020 | 50% | |
| Saroo Bikooyerdi | 5% Or Greater Direct Ownership Interest | Nov 7, 2020 | 50% |
| Corporate Officer | Nov 7, 2020 | 50% | |
| Corporate Director | Nov 7, 2020 | 50% | |
| W-2 Managing Employee | Nov 7, 2020 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1730566191
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649894400000",
"number": "1619566528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18344 OXNARD ST STE 204",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566773",
"telephone_number": "818-387-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18344 OXNARD ST STE 204",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566773",
"telephone_number": "818-600-8617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL HOME HEALTH CARE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A",
"authorized_official_last_name": "PEMBROOK",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "LLORENS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-600-8617",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.essential-hhc.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15904 Strathern St Ste 23",
"city": "Van Nuys",
"state": "CA",
"country_code": "US",
"postal_code": "914061314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.