Organization Active NPI

Option One Home Health Inc

  • Home Health Agency
  • Palmdale, CA
National Provider Identifier
1639836745
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTION ONE HOME HEALTH INC
Practice address
40015 Sierra Hwy Ste B210
Palmdale, CA 93550-2138
Phone
(661) 526-3480
Fax
(661) 526-3485
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Rajan Jacob
Title
Ceo
Phone
(661) 526-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

40015 Sierra Hwy Ste B210
Palmdale, CA 93550-2138

Mailing address

40015 Sierra Hwy Ste B210
Palmdale, CA 93550-2138
Phone (661) 526-3480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230203002212 CA Part A Provider - Home Health Agency 7214309046 Practice locations: Palmdale, CA

Home health agency certification: CCN 758172

Legal name
OPTION ONE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 7, 2025
Last certification
Sep 23, 2025
Organization structure
CorporationProprietary
Enrollment address
40015 Sierra Hwy
Ste B210
Palmdale, CA 93550-2138
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Option One Home Health IncCCN 758172 · All quality measures
Ownership
-
Certified
Oct 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

40015 Sierra Hwy
Ste B210
Palmdale, CA 93550
Phone (661) 526-3480

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jijy Jacob Individual 5% Or Greater Direct Ownership InterestCfo Jan 1, 2021 50%
Corporate OfficerCfo Jan 1, 2021 50%
Corporate DirectorCfo Jan 1, 2021 50%
W-2 Managing Employee Jan 1, 2021 50%
Rajan Jacob Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 50%
Corporate OfficerCeo Jan 1, 2021 50%
Corporate DirectorCeo Jan 1, 2021 50%
W-2 Managing Employee Jan 1, 2021 50%
Allan Lee Kurtz Individual Corporate DirectorMedical Director Jan 20, 2026

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

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": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1639836745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY STE B210",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502138",
            "telephone_number": "661-526-3480",
            "fax_number": "661-526-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY STE B210",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502138",
            "telephone_number": "661-526-3480",
            "fax_number": "661-526-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTION ONE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-526-3480"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.