NPIMap

Organization Active NPI

Health Essentials Resource & Services Inc

  • Home Health Agency
  • Hayward, CA
National Provider Identifier
1639568074
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH ESSENTIALS RESOURCE & SERVICES INC
Practice address
24301 Southland Dr Ste 611
Hayward, CA 94545-1554
Phone
(510) 239-5337
Fax
(510) 727-9958
NPI assigned
Jan 22, 2015
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Ronaldo Deleon, RNNPI 1679016661
Title
President
Phone
(510) 239-5337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

24301 Southland Dr Ste 611
Hayward, CA 94545-1554

Mailing address

24301 Southland Dr Ste 611
Hayward, CA 94545-1554
Phone (510) 239-5337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150624000051 CA Part A Provider - Home Health Agency 3577874163 Practice locations: Hayward, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639568074. Details of each certification follow.

Home health agency certification: CCN 059722

Legal name
HEALTH ESSENTIALS RESOURCE & SERVICES INC
Doing business as
ESSENTIALS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 15, 2016
Last certification
Jun 27, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 8, 2014 in CA
Enrollment address
24301 Southland Dr
Ste 611
Hayward, CA 94545-1554

Care Compare: Home health agency

Medicare Care Compare
Listed as
Essentials Home HealthCCN 059722 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 15, 2016
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
05D2097837Health Essentials Resource & Services, Inc24301 Southland Dr Ste 611, Hayward, CA 94545Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

24301 Southland Dr
Ste 610
Hayward, CA 94545
Phone (510) 239-5337

24301 Southland Dr
Ste 611
Hayward, CA 94545
Phone (510) 239-5337

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
Ronaldo Deleon Individual 5% Or Greater Direct Ownership Interest Apr 8, 2015 50%
Corporate OfficerOwner/President/Administrator/DP Apr 8, 2014 50%
Corporate DirectorOwner/President/Administrator/DP Apr 8, 2014 50%
W-2 Managing EmployeeOwner/President/Administrator/DP Apr 8, 2014 100%
Rex Gonzales Individual 5% Or Greater Direct Ownership Interest Nov 1, 2021 50%
Corporate OfficerOwner/Treasurer Nov 1, 2021 50%
Corporate DirectorOwner.Treasurer Apr 8, 2014 50%

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 9

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": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1639568074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 611",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451554",
            "telephone_number": "510-239-5337",
            "fax_number": "510-727-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 611",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451554",
            "telephone_number": "510-239-5337",
            "fax_number": "510-727-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ESSENTIALS RESOURCE & SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-239-5337",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.