Active NPI
Medcare Plus Home Health Providers, Inc.
Doing business as Blue Diamond Home Health Provider
- Home Health Agency
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- C2519247
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richel P Agra, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Provider
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 20, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1003326 | Medcare Plus Home Health Providers Inc | Certificate of waiver | Aug 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nelson N Rivera | 5% Or Greater Direct Ownership Interest | Mar 28, 2013 | 50% |
| Operational/Managerial Control | Mar 28, 2013 | ||
| Richel Agra | 5% Or Greater Direct Ownership Interest | Sep 28, 2023 | 50% |
| Operational/Managerial Control | 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.
-
- Registered Nurse
- Fontana, CA
- NPI 1881398006
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.