NPIMap

Organization Active NPI

Pinnacle Health Corporation

Doing business as Apex Home Health Care Services

  • Home Health Agency
  • Anaheim, CA
National Provider Identifier
1669524831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE HEALTH CORPORATION
Doing business as
Apex Home Health Care Services
Practice address
408 S Beach Blvd Ste 215
Anaheim, CA 92804-1892
Phone
(714) 527-0887
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Angela Garrovillo Ponce de Leon
Title
Administrator
Phone
(714) 527-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

408 S Beach Blvd Ste 215
Anaheim, CA 92804-1892

Mailing address

408 S Beach Blvd Suite 215
Anaheim, CA 92804
Phone (714) 527-0887

Other names 1

  • APEX HOME HEALTH CARE SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060406000709 CA Part A Provider - Home Health Agency 8921017609 Practice locations: Santa Ana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669524831. Details of each certification follow.

Home health agency certification: CCN 058341

Legal name
PINNACLE HEALTH CORPORATION
Doing business as
APEX HOME HEALTH CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 10, 2006
Last certification
Nov 9, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 17, 2005 in CA
Enrollment address
520 N Main St
Ste 200
Santa Ana, CA 92701-4623

Care Compare: Home health agency

Medicare Care Compare
Listed as
Apex Home Health Care ServicesCCN 058341 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 10, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2269639Apex Home Health Care Services520 N Main Street Sute 200, Santa Ana, CA 92701Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Locations

408 S Beach Blvd
#215
Anaheim, CA 92804
Phone (714) 527-0887

408 S Beach Blvd
Ste 215
Anaheim, CA 92804
Phone (714) 527-0887

520 N Main St
Ste 200
Santa Ana, CA 92701
Phone (714) 527-0887

8381 Katella Ave
Ste I
Stanton, CA 90680
Phone (714) 527-0887

Ownership & related parties

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.

NameRoleSinceShare
Angela D Ponce de Leon Individual 5% Or Greater Direct Ownership Interest Mar 18, 2017 95%
Corporate OfficerCeo Dec 17, 2005 95%
Corporate DirectorCeo Apr 11, 2006 95%
W-2 Managing Employee Nov 17, 2005 95%
Operational/Managerial Control Dec 1, 2005 95%
Marlou Canas Individual W-2 Managing EmployeeDopcs Mar 1, 2016
Desi James G Ponce de Leon Individual 5% Or Greater Direct Ownership Interest Nov 17, 2005 5%
Corporate Director Apr 11, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669524831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD SUITE 215",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-527-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 215",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041892",
            "telephone_number": "714-527-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONCE DE LEON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GARROVILLO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-527-0887",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APEX HOME HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.