Organization Active NPI

Sun City Home Health Care, Inc

  • Home Health Agency
  • Winnetka, CA
National Provider Identifier
1710586755
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUN CITY HOME HEALTH CARE, INC
Practice address
20246 Saticoy St Unit 208
Winnetka, CA 91306-4433
Phone
(818) 818-5503
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Diana JosephaNPI 1619390135
Title
President/Ceo
Phone
(818) 447-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20246 Saticoy St Unit 208
Winnetka, CA 91306-4433

Mailing address

1747 N Normandie Ave Apt 413
Los Angeles, CA 90027-3918
Phone (818) 447-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230909000006 CA Part A Provider - Home Health Agency 2466863345 Practice locations: Winnetka, CA

Home health agency certification: CCN 757339

Legal name
SUN CITY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 12, 2023
Last certification
May 12, 2023
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2020 in CA
Enrollment address
20246 Saticoy St
Ste 208
Winnetka, CA 91306-4433

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sun City Home Health Care, Inc.CCN 757339
Ownership
-
Certified
May 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

20246 Saticoy St
Unit 208
Winnetka, CA 91306
Phone (818) 818-5503

20246 Saticoy St
Ste 208
Winnetka, CA 91306
Phone (818) 818-5505

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
Diana Josepha Individual 5% Or Greater Direct Ownership Interest Aug 30, 2023 100%
Corporate OfficerCeo Aug 30, 2023 100%
Corporate DirectorCeo Aug 30, 2023 100%
W-2 Managing EmployeeCeo Aug 30, 2023 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1710586755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 N NORMANDIE AVE APT 413",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273918",
            "telephone_number": "818-447-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20246 SATICOY ST UNIT 208",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064433",
            "telephone_number": "818-818-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "JOSEPHA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-447-2222"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

Verify at the official NPI Registry.