Organization Active NPI

Emerald Home Health Inc

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1679576607
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000651 Issued in CA
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

Updated by the provider on Sep 26, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA57266GMedicaidCA

Other names 1

  • Genesis Home Health Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Aug 27, 2018 in CA
Enrollment address
5775 E Los Angeles Ave
Ste 232
Simi Valley, CA 93063-5215
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Emerald Home Health, IncCCN 557266
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 29, 1993
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
05D2197105Emerald Home Health Inc5775 East Los Angeles Avenue Suite 232, Simi Valley, CA 93063Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Krystianne Nigel Kennedy Individual 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

DateEventCounterparty
Jul 21, 2020 Change of OwnershipThis provider was the buyer Genesis Home Health, IncCCN 557266, CA, NPI 1679576607
Jul 21, 2020 Change of OwnershipThis provider was the seller Emerald Home Health IncCCN 557266, CA, NPI 1679576607

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.