NPIMap

Organization Active NPI

Sacred Heart Health Care Providers, Inc.

  • Home Health Agency
  • El Cajon, CA
National Provider Identifier
1699068205
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SACRED HEART HEALTH CARE PROVIDERS, INC.
Practice address
758 N 2ND St
El Cajon, CA 92021-5801
Phone
(562) 841-1386
NPI assigned
May 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Edwin Cunanan Sanchez
Title
Treasurer
Phone
(714) 452-4073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

758 N 2ND St
El Cajon, CA 92021-5801

Mailing address

758 N 2ND St
El Cajon, CA 92021-5801
Phone (562) 841-1386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111215000011 CA Part A Provider - Home Health Agency 6002081379 Practice locations: El Cajon, CA

Home health agency certification: CCN 059483

Legal name
SACRED HEART HEALTH CARE PROVIDERS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 26, 2013
Last certification
Dec 20, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2010 in CA
Enrollment address
758N 2ND St
El Cajon, CA 92021-5801

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sacred Heart Health Care Providers IncCCN 059483
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Mar 26, 2013
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
05D2038762Sacred Heart Health Care Providers, Inc758 N 2ND St, El Cajon, CA 92021Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

758 N 2nd St
El Cajon, CA 92021
Phone (562) 841-1386

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mae Faith Gaudiel Individual 5% Or Greater Direct Ownership InterestSecretary Oct 1, 2010 33.33%
W-2 Managing EmployeeSecretary Oct 1, 2010 33.33%
Aurora Boonjindasup Individual 5% Or Greater Direct Ownership InterestPresident/Administrator Oct 1, 2010 33.33%
W-2 Managing EmployeePresident Oct 1, 2010 33.33%
Edwin Sanchez Individual 5% Or Greater Direct Ownership InterestIt Services Oct 1, 2010 33.33%
W-2 Managing EmployeeCfo Oct 1, 2010 33.33%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

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": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1699068205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 N 2ND ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215801",
            "telephone_number": "562-841-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N 2ND ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215801",
            "telephone_number": "562-841-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTH CARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "CUNANAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "714-452-4073"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.