Organization Active NPI

Medcare Plus Home Health Providers, Inc.

Doing business as Blue Diamond Home Health Provider

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1669815064
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C2519247 Issued in CA
Legal business name
MEDCARE PLUS HOME HEALTH PROVIDERS, INC.
Doing business as
Blue Diamond Home Health Provider
Practice address
870 N Mountain Ave Ste 123
Upland, CA 91786-4173
Phone
(626) 594-4990
Fax
(877) 289-9698
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Richel P Agra, RNNPI 1881398006
Title
Ceo
Phone
(626) 594-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C2519247 CA Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

870 N Mountain Ave Ste 123
Upland, CA 91786-4173

Mailing address

870 N Mountain Ave Ste 123
Upland, CA 91786-4173
Phone (626) 594-4990

Other names 1

  • BLUE DIAMOND HOME HEALTH PROVIDER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000176 CA Part A Provider - Home Health Agency 5698912913 Practice locations: Upland, CA

Home health agency certification: CCN 059567

Legal name
MEDCARE PLUS HOME HEALTH PROVIDERS, INC.
Doing business as
BLUE DIAMOND HOME HEALTH PROVIDER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 20, 2013
Last certification
Dec 12, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 3, 2003 in CA
Enrollment address
870 N Mountain Ave
Ste 123
Upland, CA 91786-4173

Care Compare: Home health agency

Medicare Care Compare
Listed as
Blue Diamond Home Health ProviderCCN 059567 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 20, 2013
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
05D1003326Medcare Plus Home Health Providers Inc870 N Mountain Ave Ste 123, Upland, CA 91786Certificate of waiverAug 26, 2026

National Provider Directory

National Provider Directory

Locations

266 Mobil Ave
Ste 250
Camarillo, CA 93010
Phone (805) 465-7966

1135 E Route 66
Ste 206
Glendora, CA 91740
Phone (626) 594-4990

1340 E Route 66
Ste 105
Glendora, CA 91740
Phone (626) 594-4990

870 N Mountain Ave
Ste 123
Upland, CA 91786
Phone (626) 594-4990

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Nelson N Rivera Individual 5% Or Greater Direct Ownership Interest Mar 28, 2013 50%
Operational/Managerial ControlCfo, Administrator Mar 28, 2013
Richel Agra Individual 5% Or Greater Direct Ownership Interest Sep 28, 2023 50%
Operational/Managerial ControlCeo, DPCS Sep 28, 2023 50%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1669815064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MOUNTAIN AVE STE 123",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864173",
            "telephone_number": "626-594-4990",
            "fax_number": "877-289-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N MOUNTAIN AVE STE 123",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864173",
            "telephone_number": "626-594-4990",
            "fax_number": "877-289-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PLUS HOME HEALTH PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "AGRA",
        "authorized_official_first_name": "RICHEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-594-4990",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "C2519247",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE DIAMOND HOME HEALTH PROVIDER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.