Advanta Care Home Health Services, Inc.
Organization Active NPI Home Health Agency · Hayward, CA
NPI 1689172223 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1689172223
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ADVANTA CARE HOME HEALTH SERVICES, INC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Mina Ahuja
- Title
- Administrator
- Phone
- (510) 299-1250
Affiliated clinicians 19
-
Rajiv R Ahuja, M.D
-
Christine Cave, NP
-
Norman Cheung, MD
-
Grace S. Chou, M.D.
-
David Clemons, MD
-
Baldomero De Leon Jr., M.D.
-
Emer M Gaite, AGPCNP - BC
-
Joline Heo, M.D.
-
Lawren S Hicks, M.D.
-
Hamidreza M Khonsari, M.D.
-
Tiffany Michelle King, D.O.
-
Mikael Langner, M.D.
-
Narendra Malani, MD
-
Hersh Patel, M.D.
-
David A Portier, MD
-
Kruthika Proddatoori, M.D
Medicare Care Compare: Home health agency
- Listed as
- Aspire Home Health
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Sep 9, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Incorporated
- Oct 30, 2017 in CA
- Enrollment address
- 3524 Breakwater Ave
Ste a-130
Hayward, CA 94545-2239
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Meenakshi Ahuja |
5% Or Greater Direct Ownership Interest | Sep 22, 2022 | 100% |
| Corporate Officer |
Sep 12, 2022 | 100% | |
| Corporate Director |
Sep 12, 2022 | 100% | |
| W-2 Managing Employee |
Nov 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190723001414 | CA | Part a Provider - Home Health Agency | 7911233382 | Practice locations: Hayward, CA |
National Provider Directory
Locations
27206 Calaroga Ave
Ste 201
Hayward, CA 94545
Phone (510) 359-4556
3524 Breakwater Ave
Ste A130
Hayward, CA 94545
Phone (510) 359-4556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
- Aspire Home Health
Other providers in Hayward, CA
- Sandra Nicole Adina
- Demani Levay Adkins
- Berta J Adome
- Advanced Integrated Medical Group
- Advanced Multi Specialty Medical Group
- Advanta Dental Care
- Advent Care Inc
- Advocates for Access, Inc.
- Affinity Hospice Care, Inc.
- Ashley Aga
All providers in Hayward, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.