Organization Active NPI

New Era Ultimate Investment, Inc.

  • Home Health Agency
  • Hemet, CA
National Provider Identifier
1669693073
Registry record updated Dec 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW ERA ULTIMATE INVESTMENT, INC.
Doing business as
Hemet Home Health Care
Practice address
414 S Palm Ave
Suite C 2
Hemet, CA 92543-5800
Phone
(951) 766-9966
Fax
(951) 766-5688
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2007

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

Authorized official

Name
Mr. John C. Agbo
Title
Cfo
Phone
(951) 766-9966

Specialties & licenses 1

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

Addresses

Primary practice location

414 S Palm Ave
Suite C 2
Hemet, CA 92543-5800

Mailing address

414 S Palm Ave
Suite C 2
Hemet, CA 92543-5800
Phone (951) 766-9966

Other identifiers 1

IdentifierTypeStateIssuer
HHA08374FMedicaidCA

Other names 1

  • Hemet Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104001141 CA Part A Provider - Home Health Agency 2062475684 Practice locations: Hemet, CA

Home health agency certification: CCN 058374

Legal name
NEW ERA ULTIMATE INVESTMENT, INC.
Doing business as
HEMET HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 21, 2007
Last certification
Dec 14, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
233 S Carmalita St
Hemet, CA 92543-4231

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hemet Home Health CareCCN 058374 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Jun 21, 2007
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
05D1051423New Era Ultimate Investment Inc233 Carmalita St, Hemet, CA 92543Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

414 S Palm Ave
Ste C2
Hemet, CA 92543
Phone (951) 766-9966

Ownership & related parties

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.

NameRoleSinceShare
John C Agbo Individual 5% Or Greater Direct Ownership InterestOwner Sep 4, 2004 100%
5% Or Greater Mortgage Interest Mar 26, 2014 100%
5% Or Greater Security Interest Apr 1, 2015 100%
Corporate OfficerPresident/Administrator/Cfo Apr 1, 2015 100%
Corporate DirectorPresident/Administrator/Cfo Apr 1, 2015 100%
W-2 Managing EmployeePresident/Administrator/Cfo Apr 1, 2015 100%

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197072000000",
    "number": "1669693073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S PALM AVE",
            "address_2": "SUITE C 2",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925435800",
            "telephone_number": "951-766-9966",
            "fax_number": "951-766-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S PALM AVE",
            "address_2": "SUITE C 2",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925435800",
            "telephone_number": "951-766-9966",
            "fax_number": "951-766-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA ULTIMATE INVESTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-12-08",
        "status": "A",
        "authorized_official_last_name": "AGBO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-766-9966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08374F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemet Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.