All Care Home Health of San Gabriel
Organization Active NPI Home Health Agency · Rosemead, CA
NPI 1700059631 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1700059631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 980001398 (CA)
- Legal business name
- ALL CARE HOME HEALTH OF SAN GABRIEL
- Practice address
- 3505 Hart Ave
Suite 203
Rosemead, CA 91770-2061 - Phone
- (626) 571-0387
- Fax
- (626) 571-0617
- NPI assigned
- Apr 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Apolonio Comia Pagsisihan
- Title
- Administrator
- Phone
- (626) 571-0387
Owners & managing parties with NPI records 1
Affiliated clinicians 9
-
Nick Lee, MD
-
Philip H Lee, D.O.
-
Than S Lin, D.O
-
John T Liu, MD
-
Li Liu, M.D.
-
Bosheng Qiu, M.D
-
Emerald S Tay, M.D
-
Michael Yeh, MD
-
Shye-Ren Yeh, M.D.
Medicare Care Compare: Home health agency
- Listed as
- All Care Home Health of San Gabriel
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 5, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0998720 | All Care Home Health of San Gabriel | Certificate of waiver | Oct 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 058141
- Legal name
- ALL CARE HOME HEALTH OF SAN GABRIEL
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 5, 2002
- Last certification
- Feb 7, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jan 17, 2008 in CA
- Enrollment address
- 3505 Hart Ave
203
Rosemead, CA 91770-2061
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Ann-Yeh Liao |
W-2 Managing Employee |
Mar 20, 2008 | |
| Lilia Sayas Pagsisihan |
5% Or Greater Direct Ownership Interest |
Mar 20, 2008 | 50% |
| Corporate Director |
Mar 20, 2008 | 50% | |
| W-2 Managing Employee |
Mar 20, 2008 | 50% | |
| All Care Home Health Provider |
Operational/Managerial Control | Mar 20, 2008 | |
| Apolonio Camia Pagsisihan |
5% Or Greater Direct Ownership Interest |
Mar 20, 2008 | 50% |
| Corporate Director |
Mar 20, 2008 | 50% | |
| W-2 Managing Employee |
Mar 20, 2008 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080422000920 | CA | Part a Provider - Home Health Agency | 1456439033 | Practice locations: Rosemead, CA |
National Provider Directory
Locations
3505 Hart Ave
Ste 203
Rosemead, CA 91770
Phone (626) 571-0387
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001398 | CA | Yes |
Addresses
Primary practice location
3505 Hart Ave
Suite 203
Rosemead, CA 91770-2061
Mailing address
3505 Hart Ave
Suite 203
Rosemead, CA 91770-2061
Phone (626) 571-0387
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08141F | Medicaid | CA | |
| 1679539456 | Other | CA | OLD NPI NUMBER |
Other providers in Rosemead, CA
- Erika Aguilar
- Keyla Sarahi Aladro
- Kevin Albarran
- Michael F. Alfonso
- Aliyah Hospice Inc.
- All Care Home Health Provider
- Allcare Rehab Services LLC
- Allen C. Kang'S Chiropractic DC Inc
- Alma Family Services
- Alan Rodney Alvarez
All providers in Rosemead, 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 Jun 10, 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.