Amicable Homecare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001109 Issued in CA

Legal business name

AMICABLE HOMECARE INC.

Practice address

11829 South St # 100
Cerritos, CA 90703-6828

Phone

(562) 868-8881

Fax

(562) 868-8488

NPI assigned

Jun 20, 2005

Organization subpart

No

Name

Warren Delfin

Title

Owner/President

Phone

(650) 581-1359

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

• Marites M Sicat

  • Physical Therapist
  • San Mateo, CA
  • NPI 1538794797
  NPD (past)

Listed as

Amicable Homecare, IncCCN 557763

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Jan 2, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Medicare fee-for-service enrollment

Enrolled in CA

Home health agency certification: CCN 557763

Legal name

AMICABLE HOMECARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 2, 1997

Last certification

Jul 1, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 16, 1995 in CA

Enrollment address

11829 South St
Ste 100
Cerritos, CA 90703-6828
HHA Branch

Enrollment records 1

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2021.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1669477121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11829 SOUTH ST # 100",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036828",
            "telephone_number": "562-868-8881",
            "fax_number": "562-868-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11829 SOUTH ST # 100",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036828",
            "telephone_number": "562-868-8881",
            "fax_number": "562-868-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICABLE HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-01-15",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "DELFIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-581-1359"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "HHA57763F",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57763F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Amaya
• Esmeralda Amaya
• Laura Amaya
• Maryjane Tatiana Amaya
• American Career College
• Sumera Amir
• Sara Amirsolaimany, BEHAVIORAL TECH
• Sowmya Ananthanarayanan, M.D.
• Angel City Family Care Services, Inc.
• Angel City Hospice Care Inc

• All providers in Cerritos, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.