Crown Home Health Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CROWN HOME HEALTH CORP

Practice address

1411 Rimpau Ave
Suite 204
Corona, CA 92879-2693

Phone

(951) 734-1200

NPI assigned

Feb 6, 2009

Organization subpart

No

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

Authorized official

Name

Rochelle Mendoza, PTNPI 1902413149

Title

Coo

Phone

(951) 397-9938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059477

Legal name

CROWN HOME HEALTH CORP

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 17, 2012

Last certification

Jul 31, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 24, 2009 in CA

Enrollment address

1411 S Rimpau Ave 204
Ste 204
Corona, CA 92879-7500

Listed as

Crown Home Health CorporationCCN 059477

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Apr 17, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rochelle Mendoza, PT

  • Physical Therapist
  • Murrieta, CA
  • NPI 1902413149
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Faro Owiesy, M.D

  • Family Medicine Physician
  • Corona, CA
  • NPI 1568464048

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1649419128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 RIMPAU AVE",
            "address_2": "SUITE 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792693",
            "telephone_number": "951-734-1200",
            "fax_number": "951-734-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 RIMPAU AVE",
            "address_2": "SUITE 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792693",
            "telephone_number": "951-734-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-397-9938",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lichelle Crew
• Taylor Crockett
• Jesseca Crosby
• Khabirah Cross
• Crown Care Transportation
• Coral Cruz Perez
• Blanca Cruz-Gonzalez
• Andrew Cruz
• Ethel S Cruz, D.M.D.
• Jennifer Cruz, CHW

• Home Health Agency in Corona, CA
• Providers in Corona, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.

Verify at the official NPI Registry.