Homebridge Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMEBRIDGE HOME HEALTH INC

Practice address

600 N Mountain Ave Ste C205D
Upland, CA 91786-4315

Phone

(626) 251-6596

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Alvin Conferido

Title

Ceo

Phone

(626) 251-6596

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757820

Legal name

HOMEBRIDGE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 17, 2024

Last certification

Sep 11, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 24, 2022 in CA

Enrollment address

600 N Mountain Ave
Ste C205D
Upland, CA 91786-4315
HHA Branch

Listed as

Homebridge Home Health IncCCN 757820

Ownership

-

Certified

Sep 17, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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

Affiliated clinicians 2

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

• Soledad O Lee, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1063609097

  Home health agency

  Care Compare affiliation
• Peter W Liao, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1093866469

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1669127148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864315",
            "telephone_number": "626-251-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864315",
            "telephone_number": "626-251-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBRIDGE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "CONFERIDO",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-251-6596"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "C4838197",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Holley
• Lynn Hollins
• Andrea L Hollis, MFT
• Maria T. Holm, LCSW, MSW, ASW
• John J. Holton, DDS
• Eric Hoong, PT, DPT
• Danny Le Hopkins
• Brenda J. Hopley, MFT
• Crystal Horn
• Kathy Lynn Hornbaker, D.C.

• Home Health Agency in Upland, CA
• Providers in Upland, 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 Feb 14, 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.

Verify at the official NPI Registry.