NPIMap

Organization Active NPI

Californiahomehealth

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1629437520
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALIFORNIAHOMEHEALTH
Doing business as
California Home Health
Practice address
6081 N 1St St Ste 104
Fresno, CA 93710-5466
Phone
(559) 432-8700
Fax
(559) 432-8701
NPI assigned
Feb 19, 2016
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Puneet Dhillon
Title
Administrator
Phone
(559) 432-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6081 N 1St St Ste 104
Fresno, CA 93710-5466

Mailing address

6081 N 1St St Ste 104
Fresno, CA 93710-5466
Phone (559) 432-8700

Other identifiers 1

IdentifierTypeStateIssuer
553112MedicaidCA

Other names 1

  • California Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502002752 CA Part A Provider - Home Health Agency 5799049508 Practice locations: Fresno, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629437520. Details of each certification follow.

Home health agency certification: CCN 553112

Legal name
CALIFORNIAHOMEHEALTH
Doing business as
CALIFORNIA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 30, 2018
Last certification
Oct 30, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 27, 2016 in CA
Enrollment address
6069 N 1St St
Ste 102
Fresno, CA 93710-5467

Care Compare: Home health agency

Medicare Care Compare
Listed as
California Home HealthCCN 553112 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 30, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2116057California Home Health6069 N First St Ste 102, Fresno, CA 93710Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

6069 N 1st St
Ste 102
Fresno, CA 93710
Phone (559) 432-8700

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gurmej Singh Dhillon Individual Corporate DirectorMedica Director Board Member Aut Mar 1, 2016
Puneet Dhillon Individual 5% Or Greater Direct Ownership InterestCeo/Vice President/Secretary Oct 1, 2022 100%
Corporate OfficerCeo/Vice President/Secretary Oct 1, 2022 100%
Corporate DirectorCeo/Vice President Oct 1, 2022 100%
W-2 Managing EmployeeCeo/Vice President/Secretary Oct 1, 2022 100%
Jasmer Dhillon Individual Corporate OfficerCeo Cfo Board Member Delegated O Mar 19, 2016
Flordeliza Deguzman Individual Contracted Managing EmployeeAdministrator DPCS Mar 19, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1629437520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 N 1ST ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105466",
            "telephone_number": "559-432-8700",
            "fax_number": "559-432-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 N 1ST ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105466",
            "telephone_number": "559-432-8700",
            "fax_number": "559-432-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIAHOMEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "PUNEET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-432-8700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "553112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.