Active NPI
Calcare Home Health Inc
- Home Health Agency
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001578
- Legal business name
- CALCARE HOME HEALTH INC
- Practice address
- 520 E Foothill Blvd Ste D
Pomona, CA 91767-1200 - Phone
- (909) 622-6300
- Fax
- (909) 622-6363
- NPI assigned
- Aug 16, 2006
- 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
- Mrs. Mary Jean Guanzon, RN
- Title
- Administrator
- Phone
- (909) 622-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001578 | CA | Primary |
Addresses
Primary practice location
520 E Foothill Blvd Ste D
Pomona, CA 91767-1200
Mailing address
520 E Foothill Blvd Ste D
Pomona, CA 91767-1200
Phone (909) 622-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 980001578 | Other | CA | HOME HEALTH STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030822000027 | CA | Part A Provider - Home Health Agency | 7517878952 | Practice locations: Pomona, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710090402. Details of each certification follow.
Home health agency certification: CCN 058351
- Legal name
- CALCARE HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 11, 2006
- Last certification
- Jan 25, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- May 8, 2003 in CA
- Enrollment address
- 520 E Foothill Blvd
Ste D
Pomona, CA 91767-1200
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Calcare Home Health Inc
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Nov 11, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1014328 | Calcare Home Health Inc | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
17139 Bellflower Blvd
Ste 202
Bellflower, CA 90706
Phone (562) 461-8833
10900 183rd St
Ste 280
Cerritos, CA 90703
Phone (562) 865-8600
520 E Foothill Blvd
Ste D
Pomona, CA 91767
Phone (909) 622-6300
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Ram P Jeereddy | Corporate Officer | May 1, 2015 | 30% |
| Corporate Director | May 1, 2015 | 33% | |
| Padma Rajan | Corporate Officer | May 1, 2015 | 30% |
| Corporate Director | May 1, 2015 | 33% | |
| Chuang-Ti Hung | 5% Or Greater Indirect Ownership Interest | May 1, 2015 | 6.72% |
| Ricardo E Saca | 5% Or Greater Indirect Ownership Interest | May 1, 2015 | 5.64% |
| Foothill Accountable Care Medical Group, Inc | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 100% |
| Adrienne M Walker | Corporate Officer | May 1, 2015 | 40% |
| Corporate Director | May 1, 2015 | 34% | |
| Prasad a Jeereddi | 5% Or Greater Indirect Ownership Interest | May 1, 2015 | 6.77% |
| Mary J Guanzon | Operational/Managerial Control | Jun 22, 2016 | 50% |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Gastroenterology Physician
- Upland, CA
- NPI 1619049749
5% Or Greater Indirect Ownership Interest
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1821058470
5% Or Greater Indirect Ownership Interest
-
- Internal Medicine Physician
- Chino, CA
- NPI 1619072774
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Rancho Cucamonga, CA
- NPI 1518339548
Foothill Accountable Care Medical Group, Inc
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Upland, CA
- NPI 1710956412
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Rancho Cucamonga, CA
- NPI 1972517423
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Ontario, CA
- NPI 1093720666
Home health agency
-
- Family Medicine Physician
- La Verne, CA
- NPI 1427546738
Home health agency
-
- Geriatric Medicine (Family Medicine) Physician
- Pomona, CA
- NPI 1033614722
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1710090402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E FOOTHILL BLVD STE D",
"city": "POMONA",
"state": "CA",
"postal_code": "917671200",
"telephone_number": "909-622-6300",
"fax_number": "909-622-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E FOOTHILL BLVD STE D",
"city": "POMONA",
"state": "CA",
"postal_code": "917671200",
"telephone_number": "909-622-6300",
"fax_number": "909-622-6363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALCARE HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "GUANZON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-622-6300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH STATE LICENSE",
"identifier": "980001578",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.