Active NPI
Admirable Home Health Services Inc.,
- Home Health Agency
- West Covina, CA
National Provider Identifier
1639776958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ADMIRABLE HOME HEALTH SERVICES INC.,
- Practice address
- 1535 W Merced Ave Ste 304
West Covina, CA 91790-3404 - Phone
- (626) 829-1818
- Fax
- (626) 800-1166
- NPI assigned
- Oct 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Acyta D Mitchell, RN
- Title
- Cfo
- Phone
- (626) 253-2142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1535 W Merced Ave Ste 304
West Covina, CA 91790-3404
Mailing address
1235 Galemont Ave
Hacienda Heights, CA 91745-2111
Other names 1
- admirable home health services
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | url | Health Information Exchange (HIE) | |
| Other URL | DSL | Direct | |
| CONNECT URL | DSL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220822001175 | CA | Part A Provider - Home Health Agency | 2466835657 | Practice locations: West Covina, CA |
Home health agency certification: CCN 757292
- Legal name
- ADMIRABLE HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 13, 2023
- Last certification
- Apr 20, 2023
- Organization structure
- Corporation
- Incorporated
- Aug 24, 2020 in CA
- Enrollment address
- 1535 W Merced Ave
Ste 304
West Covina, CA 91790-3404
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Admirable Home Health Services, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Jun 13, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2310589 | Admirable Home Health Services Inc | Certificate of waiver | Sep 4, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cathy Phung | 5% Or Greater Direct Ownership Interest | Aug 24, 2020 | 50% |
| Corporate Officer | Aug 24, 2020 | 50% | |
| W-2 Managing Employee | Aug 24, 2020 | 50% | |
| Acynta Mitchell | 5% Or Greater Direct Ownership Interest | Aug 24, 2020 | 50% |
| Corporate Officer | Aug 24, 2020 | 50% | |
| W-2 Managing Employee | Aug 24, 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": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1639776958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 GALEMONT AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917452111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 W MERCED AVE STE 304",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903404",
"telephone_number": "626-829-1818",
"fax_number": "626-800-1166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADMIRABLE HOME HEALTH SERVICES INC.,",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-08",
"last_updated": "2022-10-05",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "ACYTA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "626-253-2142",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "url",
"affiliation": "N",
"endpointDescription": "url",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "url",
"address_1": "1535 W Merced Ave Ste 304",
"city": "West Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917903404",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "DSL",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1535 W Merced Ave Ste 304",
"city": "West Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917903404",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DSL",
"affiliation": "N",
"address_1": "1535 W Merced Ave Ste 304",
"city": "West Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917903404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "admirable home health services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "admirable home health services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
- Active Healthcare Medical Group Inc
- Active Life, LLC
- Michael David Adamo, BA, MS
- Sarah Virginia Adams, PSY.D. LMFT
- Abigail Adan
- Advanced Home Care Services
- Advanced Radiation Oncology Medical Group, Inc.
- Advanced Sleep Medicine Services, Inc.
- Advanced Sleep Medicine Services, Inc.
- Fe B Advincula, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.