Organization Active NPI

Juvan Home Health Care

  • Home Health Agency
  • Orange, CA
National Provider Identifier
1700537396
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JUVAN HOME HEALTH CARE
Practice address
2050 W Chapman Ave Ste 287
Orange, CA 92868-2696
Phone
(657) 331-0762
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Jenny VI Sales Badua
Title
Secretary
Phone
(657) 331-0762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2050 W Chapman Ave Ste 287
Orange, CA 92868-2696

Mailing address

2050 W Chapman Ave Ste 287
Orange, CA 92868-2696
Phone (657) 331-0762

Other names 1

  • JUVAN HOME HEALTH CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220003180 CA Part A Provider - Home Health Agency 7416324678 Practice locations: Orange, CA

Home health agency certification: CCN 757724

Legal name
JUVAN HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 12, 2024
Last certification
Jun 6, 2024
Organization structure
CorporationProprietary
Incorporated
Jan 8, 2022 in CA
Enrollment address
2050 W Chapman Ave
Ste 287
Orange, CA 92868-2696

Care Compare: Home health agency

Medicare Care Compare
Listed as
Juvan Home Health CareCCN 757724
Ownership
-
Certified
Jun 12, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2050 W Chapman Ave
Ste 287
Orange, CA 92868
Phone (657) 331-0762

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
Jovelyn Dang Individual 5% Or Greater Direct Ownership InterestPresident/Ceo/Owner Jan 4, 2022 33.33%
Corporate DirectorPresident/Ceo/Owner Jan 4, 2022 33.33%
Jenny-VI Badua Individual 5% Or Greater Direct Ownership InterestBoard of Secretary/Owner Jan 4, 2022 33.33%
Corporate OfficerBoard of Secretary/Owner Jan 4, 2022 33.33%
Julius Sales Individual 5% Or Greater Direct Ownership InterestCfo/Owner Jan 4, 2022 33.34%
W-2 Managing EmployeeCfo/Owner Jan 4, 2022 33.34%

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1700537396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W CHAPMAN AVE STE 287",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682696",
            "telephone_number": "657-331-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W CHAPMAN AVE STE 287",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682696",
            "telephone_number": "657-331-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVAN HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "BADUA",
        "authorized_official_first_name": "JENNY VI",
        "authorized_official_middle_name": "SALES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "657-331-0762"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUVAN HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUVAN HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.