NPIMap

Organization Active NPI

Saint Francis Healthcare, Inc.

  • Home Health Agency
  • La Mesa, CA
National Provider Identifier
1710375720
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAINT FRANCIS HEALTHCARE, INC.
Practice address
5119 Garfield St
La Mesa, CA 91941-5103
Phone
(619) 439-7683
Fax
(619) 439-7842
NPI assigned
Dec 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Sue Calapuan Fortuno
Title
Administrator/Ceo/Cfo/Sec
Phone
(619) 439-7683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5119 Garfield St
La Mesa, CA 91941-5103

Mailing address

5119 Garfield St
La Mesa, CA 91941-5103
Phone (619) 439-7683

Other identifiers 2

IdentifierTypeStateIssuer
1710375720MedicaidCA
1710375720OtherCANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160815000787 CA Part A Provider - Home Health Agency 9537453501 Practice locations: La Mesa, CA

Home health agency certification: CCN 559290

Legal name
SAINT FRANCIS HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 18, 2021
Last certification
Feb 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 14, 2014 in CA
Enrollment address
5119 Garfield St
La Mesa, CA 91941-5103

Care Compare: Home health agency

Medicare Care Compare
Listed as
Saint Francis Healthcare IncCCN 559290
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Feb 18, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2135227Saint Francis Healthcare, Inc.5119 Garfield St, La Mesa, CA 91941Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Locations

601 E Yorba Linda Blvd
Ste 2A
Placentia, CA 92870
Phone (714) 993-3452

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Sue C Fortuno Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/ Dec 12, 2019 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member-S Dec 12, 2019 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member-S Dec 12, 2019 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member/O Dec 12, 2019 100%
Operational/Managerial ControlCeo/Cfo/Secretary/Board Member/O Dec 12, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1710375720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 GARFIELD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415103",
            "telephone_number": "619-439-7683",
            "fax_number": "619-439-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 GARFIELD ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415103",
            "telephone_number": "619-439-7683",
            "fax_number": "619-439-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-27",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "FORTUNO",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "CALAPUAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO/CFO/SEC",
        "authorized_official_telephone_number": "619-439-7683"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710375720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710375720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.