NPIMap

Organization Active NPI

Assisted Home Care, Inc

  • Community Based Hospice Care Agency
  • Ventura, CA
National Provider Identifier
1659326825
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASSISTED HOME CARE, INC
Practice address
4450 Westinghouse St
Suite 103
Ventura, CA 93003-5787
Phone
(805) 677-7405
Fax
(805) 677-7441
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Mr. Michael Donley
Title
Coo
Phone
(805) 371-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4450 Westinghouse St
Suite 103
Ventura, CA 93003-5787

Mailing address

72 Moody Court
Suite 100
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988

Other identifiers 1

IdentifierTypeStateIssuer
HPCO1743FMedicaidCA

Other names 1

  • ASSISTED HOME HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100210000260 CA Part A Provider - Hospice 1557404704 1 other NPI on this enrollment
Practice locations: Santa Barbara, CA; Ventura, CA

Hospice certification: CCN 051743

Legal name
ASSISTED HOME CARE, INC
Doing business as
ASSISTED HOME HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 10, 2000
Last certification
Aug 4, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 26, 1995 in CA
Enrollment address
4450 Westinghouse St
Ste 103
Ventura, CA 93003-5787

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Assisted Home HospiceCCN 051743
Ownership
For-Profit
Certified
Oct 10, 2000
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
05D0967788Assisted Home Hospice4450 Westinghouse St Ste 103, Ventura, CA 93003Certificate of waiverNov 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Assisted Home Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Teresa Elaine Aulestia Individual W-2 Managing EmployeeAd; May 1, 2023 100%
Deborah Bartlett Individual W-2 Managing Employee Jan 15, 2010
William Rajala Individual W-2 Managing EmployeeMD; May 1, 2023
Elaine Denise Shelton Individual 5% Or Greater Direct Ownership InterestPresident Jan 15, 2010 51%
Corporate OfficerPresident Jan 15, 2010 51%
Corporate DirectorPresident Jan 15, 2010 51%
W-2 Managing EmployeePresident Jan 15, 2010 51%
William Donley Individual 5% Or Greater Direct Ownership InterestChairman of the Board Jan 15, 2010 49%
Corporate DirectorChairman of the Board Jan 15, 2010 49%

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 7

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1659326825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOODY COURT",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 WESTINGHOUSE ST",
            "address_2": "SUITE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035787",
            "telephone_number": "805-677-7405",
            "fax_number": "805-677-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "DONLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-371-9988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPCO1743F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSISTED HOME HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASSISTED HOME HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.