Active NPI
Emerald Home Health Inc
- Home Health Agency
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980000651
- Legal business name
- EMERALD HOME HEALTH INC
- Practice address
- 5775 E. Los Angeles Avenue
Suite 232
Simi Valley, CA 93063-5213 - Phone
- (805) 864-9311
- Fax
- (805) 864-9312
- NPI assigned
- May 23, 2005
- 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
- Mrs. Krystianne Nigel Abrenica Kennedy, MSN, RN-BC
- Title
- Administrator/President
- Phone
- (805) 864-9311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980000651 | CA | Primary |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
5775 E. Los Angeles Avenue
Suite 232
Simi Valley, CA 93063-5213
Mailing address
5775 E Los Angeles Ave Ste 232
Simi Valley, CA 93063-5215
Phone (805) 864-9311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA57266G | Medicaid | CA |
Other names 1
- Genesis Home Health Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200813003257 | CA | Part A Provider - Home Health Agency | 5991121469 | Practice locations: Simi Valley, CA |
Home health agency certification: CCN 557266
- Legal name
- EMERALD HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 29, 1993
- Last certification
- Jan 8, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 27, 2018 in CA
- Enrollment address
- 5775 E Los Angeles Ave
Ste 232
Simi Valley, CA 93063-5215
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Emerald Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 29, 1993
- 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 |
|---|---|---|---|
| 05D2197105 | Emerald Home Health Inc | Certificate of waiver | Oct 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
14621 Titus St
Ste 233
Panorama City, CA 91402
Phone (818) 756-0420
5775 E Los Angeles Ave
Ste 232
Simi Valley, CA 93063
Phone (805) 864-9311
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Krystianne Nigel Kennedy | 5% Or Greater Direct Ownership Interest | Jul 21, 2020 | 100% |
| Corporate Director | Jul 21, 2020 | 100% | |
| W-2 Managing Employee | Jul 21, 2020 | 100% |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Jul 21, 2020 | Change of Ownership | Genesis Home Health, Inc |
| Jul 21, 2020 | Change of Ownership | Emerald Home Health Inc |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1396775474
Home health agency
-
- Cardiovascular Disease Physician
- Thousand Oaks, CA
- NPI 1144290081
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1679576607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 E LOS ANGELES AVE STE 232",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930635215",
"telephone_number": "805-864-9311",
"fax_number": "805-864-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 E. LOS ANGELES AVENUE",
"address_2": "SUITE 232",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930635213",
"telephone_number": "805-864-9311",
"fax_number": "805-864-9312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "KRYSTIANNE NIGEL",
"authorized_official_middle_name": "ABRENICA",
"authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
"authorized_official_telephone_number": "805-864-9311",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSN, RN-BC"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980000651",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA57266G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Home Health Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.