Organization Active NPI

Admirable Home Health Services Inc.,

  • Home Health Agency
  • West Covina, CA
National Provider Identifier
1639776958
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 5, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 757292
Overall star rating
1.5 of 5
Ownership
-
Certified
Jun 13, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2310589Admirable Home Health Services Inc1535 W Merced Ave Ste 304, West Covina, CA 91790Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory

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
Cathy Phung Individual 5% Or Greater Direct Ownership InterestGoverning Board Member, Cfo, Ceo Aug 24, 2020 50%
Corporate OfficerGoverning Board Member, Cfo, Ceo Aug 24, 2020 50%
W-2 Managing EmployeeGoverning Board Member, Cfo, Ceo Aug 24, 2020 50%
Acynta Mitchell Individual 5% Or Greater Direct Ownership InterestGoverning Board Member, Cfo, Ceo Aug 24, 2020 50%
Corporate OfficerGoverning Board Member, Cfo, Ceo Aug 24, 2020 50%
W-2 Managing EmployeeGoverning Board Member, Cfo, Ceo 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

Sources for this page

Verify at the official NPI Registry.