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

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren Delfin

Title

Owner/President

Phone

(650) 581-1359

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669477121. Details of each certification follow.

• CCN 557763 Home health agency · Active · Details

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

Listed as

Amicable Homecare, IncCCN 557763 · All quality measures

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

All disclosed owners & managing parties 1

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, and the practitioner matching its NPPES authorized official.

• Marites M Sicat

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

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Cerritos, CA
• Providers in Cerritos, 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 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.