Organization Active NPI

Alaphia Care Home Health Services, Inc

  • Home Health Agency
  • RCH Cucamonga, CA
National Provider Identifier
1639628183
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALAPHIA CARE HOME HEALTH SERVICES, INC
Practice address
8300 Utica Ave Ste 247
RCH Cucamonga, CA 91730-3852
Phone
(909) 458-0578
Fax
(909) 458-0577
NPI assigned
Sep 26, 2016
Last updated
Mar 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Ola Osifeso
Title
Owner
Phone
(909) 717-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8300 Utica Ave Ste 247
RCH Cucamonga, CA 91730-3852

Mailing address

8300 Utica Ave Ste 247
Rancho Cucamonga, CA 91730-3852
Phone (909) 458-0678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170112002106 CA Part A Provider - Home Health Agency 9830471556 Practice locations: Rancho Cucamonga, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639628183. Details of each certification follow.

Home health agency certification: CCN 053140

Legal name
ALAPHIA CARE HOME HEALTH SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2018
Last certification
Mar 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 15, 2016 in CA
Enrollment address
8300 Utica Ave
Ste 247
Rancho Cucamonga, CA 91730-3852

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alaphia Care Home Health Services, Inc.CCN 053140 · All quality measures
Ownership
Proprietary
Certified
Jan 12, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

10630 Town Center Dr
Ste 116
Rancho Cucamonga, CA 91730
Phone (909) 272-9005

10950 Arrow Rte
Unit 2653
Rch Cucamonga, CA 91729

8300 Utica Ave
Ste 247
Rch Cucamonga, CA 91730
Phone (626) 384-6940

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Olasunmbo Osifeso Individual 5% Or Greater Direct Ownership Interest Jul 15, 2016 100%
Corporate OfficerVice President Jul 15, 2016 25%
W-2 Managing EmployeeVice President Jul 15, 2015 100%

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1639628183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE STE 247",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303852",
            "telephone_number": "909-458-0678",
            "fax_number": "909-458-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 UTICA AVE STE 247",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917303852",
            "telephone_number": "909-458-0578",
            "fax_number": "909-458-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAPHIA CARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "OSIFESO",
        "authorized_official_first_name": "OLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-717-8886"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in RCH Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.