Active NPI
Acacia Home Health, Inc
- Home Health Agency
- Yuma, AZ
National Provider Identifier
1679977979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ACACIA HOME HEALTH, INC
- Practice address
- 250 W 24TH St
Suite C Suite E
Yuma, AZ 85364-8574 - Phone
- (928) 726-9163
- Fax
- (928) 726-1040
- NPI assigned
- Oct 15, 2014
- Last updated
- Mar 3, 2015
- 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. Silvia Garcia
- Title
- President
- Phone
- (928) 726-9163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
250 W 24TH St
Suite C Suite E
Yuma, AZ 85364-8574
Mailing address
250 W 24TH St
Suite C & Suite E
Yuma, AZ 85364-8574
Phone (928) 726-9163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141204002413 | AZ | Part A Provider - Home Health Agency | 1254653017 | Practice locations: Yuma, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1679977979. Details of each certification follow.
Home health agency certification: CCN 037269
- Legal name
- ACACIA HOME HEALTH INC
- Doing business as
- ACACIA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 12, 2009
- Last certification
- Sep 16, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 16, 2014 in AZ
- Enrollment address
- 103 E 24TH St
Yuma, AZ 85364-8544
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Acacia Home Health, Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 12, 2009
- 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 |
|---|---|---|---|
| 03D2086682 | Acacia Home Health Care Inc | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
103 E 24th St
Yuma, AZ 85364
Phone (928) 304-9184
250 W 24th St
Ste C
Yuma, AZ 85364
Phone (928) 726-9163
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 |
|---|---|---|---|
| Jesus E Garcia | 5% Or Greater Direct Ownership Interest | Sep 10, 2020 | 50% |
| Silvia Garcia | 5% Or Greater Direct Ownership Interest | Sep 10, 2020 | 50% |
| Corporate Officer | Aug 1, 2015 | 40% | |
| Corporate Director | Aug 1, 2015 | 40% | |
| Operational/Managerial Control | Oct 13, 2014 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 8
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": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425340800000",
"number": "1679977979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 24TH ST",
"address_2": "SUITE C & SUITE E",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648574",
"telephone_number": "928-726-9163",
"fax_number": "928-726-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 24TH ST",
"address_2": "SUITE C SUITE E",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648574",
"telephone_number": "928-726-9163",
"fax_number": "928-726-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACACIA HOME HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2015-03-03",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "SILVIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-726-9163",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.