NPIMap

Organization Active NPI

Advanta Care Home Health Services, Inc.

Doing business as Aspire Home Health

  • Home Health Agency
  • Hayward, CA
National Provider Identifier
1689172223
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANTA CARE HOME HEALTH SERVICES, INC.
Doing business as
Aspire Home Health
Practice address
3524 Breakwater Ave Ste a-130
Hayward, CA 94545-2239
Phone
(510) 359-4556
Fax
(510) 315-3100
NPI assigned
Jan 29, 2018
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Mina Ahuja
Title
Administrator
Phone
(510) 299-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3524 Breakwater Ave Ste a-130
Hayward, CA 94545-2239

Mailing address

3524 Breakwater Ave Ste a-130
Hayward, CA 94545-2239
Phone (510) 359-4556

Other names 1

  • Aspire Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723001414 CA Part A Provider - Home Health Agency 7911233382 Practice locations: Hayward, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689172223. Details of each certification follow.

Home health agency certification: CCN 559029

Legal name
ADVANTA CARE HOME HEALTH SERVICES INC
Doing business as
ASPIRE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 2019
Last certification
Sep 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 30, 2017 in CA
Enrollment address
3524 Breakwater Ave
Ste a-130
Hayward, CA 94545-2239

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aspire Home HealthCCN 559029 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 9, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3524 Breakwater Ave
Ste A130
Hayward, CA 94545
Phone (510) 359-4556

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
Meenakshi Ahuja Individual 5% Or Greater Direct Ownership Interest Sep 22, 2022 100%
Corporate OfficerCeo,President,Cfo,Secretary,Trea Sep 12, 2022 100%
Corporate DirectorCeo,President,Cfo,Secretary,Trea Sep 12, 2022 100%
W-2 Managing EmployeeAd; Nov 1, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1689172223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 BREAKWATER AVE STE A-130",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452239",
            "telephone_number": "510-359-4556",
            "fax_number": "510-315-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 BREAKWATER AVE STE A-130",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452239",
            "telephone_number": "510-359-4556",
            "fax_number": "510-315-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTA CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-299-1250"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.