National Home Health Services - West, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001217 Issued in CA

Legal business name

NATIONAL HOME HEALTH SERVICES - WEST, INC.

Practice address

1712 20TH Ave
San Francisco, CA 94122-3467

Phone

(415) 812-2955

Fax

(408) 521-3333

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Aleksander Rudakov

Title

President

Phone

(415) 812-2955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059355

Legal name

NATIONAL HOME HEALTH SERVICES WEST INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 12, 2011

Last certification

Nov 19, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

42840 Christy St
Ste 235
Fremont, CA 94538-3130

Listed as

National Home Health Services-West, IncCCN 059355

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Sep 12, 2011

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ekta Balani, D.P.M.

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  • NPI 1639212400
  NPD (past)

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1629398227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 20TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223467",
            "telephone_number": "415-812-2955",
            "fax_number": "408-521-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 20TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223467",
            "telephone_number": "415-812-2955",
            "fax_number": "408-521-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL HOME HEALTH SERVICES - WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "RUDAKOV",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-812-2955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in San Francisco, CA
• Providers in San Francisco, 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 Jun 4, 2010; 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.