Privilege Home Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001022 Issued in CA

Legal business name

PRIVILEGE HOME SERVICES, INC.

Practice address

11395 183Rd St
Cerritos, CA 90703-5434

Phone

(562) 468-0888

Fax

(562) 468-0889

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Kim-Phung Ngo

Title

Ceo

Phone

(562) 468-0888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059241

Legal name

PRIVILEGE HOME SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 29, 2010

Last certification

Apr 26, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

11395 183Rd St
Cerritos, CA 90703-5434

Listed as

Privilege Home Services, IncCCN 059241

Overall star rating

2 of 5

Ownership

Proprietary

Certified

May 29, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 2

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

• Robert H Rivera, MD

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1659447977

  Home health agency

  Care Compare affiliation
• Dessielyn Yu Roxas, NP

  • Family Nurse Practitioner
  • Lancaster, CA
  • NPI 1255042180

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1679758403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11395 183RD ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035434",
            "telephone_number": "562-468-0888",
            "fax_number": "562-468-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11395 183RD ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035434",
            "telephone_number": "562-468-0888",
            "fax_number": "562-468-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVILEGE HOME SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "KIM-PHUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-468-0888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of California Medical PC
• Kelly J Prieto, M.S., BCBA
• Layla Prieto
• Prime Choice Home Health Inc.
• Irene Pringsulaka, M.A, OTR/L
• Pro Care Physical Therapy
• Prode P. Pascual, M.D., Inc.
• Promax Medical Supplies Inc.
• Providence Community Services
• Prudential Hospice Care, Inc.

• Home Health Agency in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.

Verify at the official NPI Registry.