Organization Active NPI

Onmycare LLC

Doing business as Onmycare Home Health

  • Home Health Agency
  • Fremont, CA
National Provider Identifier
1710370317
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550003402 Issued in CA
Legal business name
ONMYCARE LLC
Doing business as
Onmycare Home Health
Practice address
39159 Paseo Padre Pkwy Ste 304
Fremont, CA 94538
Phone
(510) 858-2273
Fax
(510) 298-5756
NPI assigned
Mar 6, 2015
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Kristi Halva
Title
President of Operations
Phone
(510) 858-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550003402 CA Primary

Addresses

Primary practice location

39159 Paseo Padre Pkwy Ste 304
Fremont, CA 94538

Mailing address

39159 Paseo Padre Pkwy Ste 304
Fremont, CA 94538-1698
Phone (510) 858-2273

Other names 1

  • Onmycare Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005003295 CA Part A Provider - Home Health Agency 5991013302 Practice locations: Fremont, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710370317. Details of each certification follow.

Home health agency certification: CCN 059729

Legal name
ONMYCARE LLC
Doing business as
ONMYCARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 21, 2016
Last certification
Sep 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 22, 2011 in CA
Enrollment address
39159 Paseo Padre Pkwy
Ste 304
Fremont, CA 94538-1698

Care Compare: Home health agency

Medicare Care Compare
Listed as
Onmycare Home HealthCCN 059729 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 21, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

39159 Paseo Padre Pkwy
Ste 304
Fremont, CA 94538
Phone (510) 858-2273

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Excellin Holdings LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest May 23, 2022 100%
Uk Railways Pension Schemes (United Kingdom) Organization, London 5% Or Greater Indirect Ownership Interest May 23, 2022 12%
CCG-Ehh Management, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest May 23, 2022 88.6%
Corealpha Private Equity Partners Co-Investment Fund V (Cayman), LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest May 23, 2022 10.67%
Wonder Women LLC Organization, Camden, DE LLC 5% Or Greater Indirect Ownership Interest May 23, 2022 10%
Corinthian Equity Partners II, L.P. Organization, New York, NY General Partnership Interest May 23, 2022
CCG-Ehh Blocker LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest May 23, 2022 74.7%
Gemini GP VI, LLC Organization, Wellesley Hills, MA LLC General Partnership Interest May 23, 2022
Corinthian Co-Investment Fund, L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest May 23, 2022 20%
Excelin Health, LLC Organization, New York, NY LLC 5% Or Greater Direct Ownership Interest May 23, 2022 100%
Gemini Investors VI LP Organization, Wellesley Hills, MA 5% Or Greater Indirect Ownership Interest May 23, 2022 6%
Corealpha Private Equity Partners Co-Investment Fund V, LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest May 23, 2022 12%
Alicia Christine Marr Individual Corporate Officer Sep 1, 2023
Operational/Managerial Control Sep 1, 2023
Excelin Health Inc Organization, New York, NY Corporation 5% Or Greater Indirect Ownership Interest May 23, 2022 100%
WP Corealpha Co-Investment GP V, LLC Organization, Chicago, IL LLC General Partnership Interest May 23, 2022
Corinthian Equity Fund II LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest May 23, 2022 27.8%
WP Global RR Investors, L.P. Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest May 23, 2022 12%
WP RR GP, LLC Organization, Chicago, IL LLC General Partnership Interest May 23, 2022
Amberley Donna Rojas Individual W-2 Managing Employee Sep 1, 2023
Natalie Trinh Khoung Individual W-2 Managing EmployeeAdministrator and DCPS May 23, 2022
OtherAdministrator and DCPS May 23, 2022
Santander (CR Trustee) Limited (United Kingdom) Organization, Milton Keynes 5% Or Greater Indirect Ownership Interest May 23, 2022 8.53%

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1710370317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 304",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381698",
            "telephone_number": "510-858-2273",
            "fax_number": "510-298-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY STE 304",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-858-2273",
            "fax_number": "510-298-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONMYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "HALVA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "510-858-2273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550003402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onmycare Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onmycare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.