Active NPI
Juvan Home Health Care
- Home Health Agency
- Orange, CA
National Provider Identifier
1700537396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- -
- Certified
- Jun 12, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jovelyn Dang | 5% Or Greater Direct Ownership Interest | Jan 4, 2022 | 33.33% |
| Corporate Director | Jan 4, 2022 | 33.33% | |
| Jenny-VI Badua | 5% Or Greater Direct Ownership Interest | Jan 4, 2022 | 33.33% |
| Corporate Officer | Jan 4, 2022 | 33.33% | |
| Julius Sales | 5% Or Greater Direct Ownership Interest | Jan 4, 2022 | 33.34% |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.