Organization Active NPI

Essential Home Health Care Corp.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1619566528
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 14, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Nov 10, 2020 in CA
Enrollment address
18344 Oxnard St
Ste 204
Tarzana, CA 91356-6773
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Essential Home Health Care Corp.CCN 753150
Overall star rating
3.5 of 5
Ownership
-
Certified
Aug 9, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jordan Pembrook Individual 5% Or Greater Direct Ownership InterestCeo Nov 7, 2020 50%
Corporate OfficerCeo Nov 7, 2020 50%
Corporate DirectorCo-Administrator Nov 7, 2020 50%
W-2 Managing EmployeeCo-Manager Nov 7, 2020 50%
Saroo Bikooyerdi Individual 5% Or Greater Direct Ownership InterestCfo Nov 7, 2020 50%
Corporate OfficerCfo Nov 7, 2020 50%
Corporate DirectorCo-Administrator Nov 7, 2020 50%
W-2 Managing EmployeeCo-Manager Nov 7, 2020 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

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

Verify at the official NPI Registry.