Oak Creek Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OAK CREEK HOME HEALTH INC

Practice address

1699 E Roseville Pkwy Ste 100
Roseville, CA 95661-3838

Phone

(916) 773-0007

Fax

(916) 773-0008

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Manukyan

Title

Ceo

Phone

(916) 773-0007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757967

Legal name

OAK CREEK HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 6, 2025

Last certification

Apr 23, 2025

Organization structure

CorporationProprietary

Enrollment address

1699 E Roseville Pkwy
Ste 100
Roseville, CA 95661-3838

Listed as

Oak Creek Home Health, IncCCN 757967 · All quality measures

Ownership

-

Certified

May 6, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 2

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

• John M Kailath, M.D.

  • Hematology & Oncology Physician
  • Carmichael, CA
  • NPI 1619943313

  Home health agency

  Care Compare affiliation
• Ram Lalchandani, M.D.

  • Hematology & Oncology Physician
  • Carmichael, CA
  • NPI 1114993813

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1710765649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E ROSEVILLE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613838",
            "telephone_number": "916-773-0007",
            "fax_number": "916-773-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 E ROSEVILLE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613838",
            "telephone_number": "916-773-0007",
            "fax_number": "916-773-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-773-0007"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M O'Dea, D.D.S., M.S.
• Amy P O'Donnell, M.S., L.AC
• Quinn Maura O'Hanlon
• McKenna O'Hara
• Kevin James O'Neill, D.D.S., M.S.D.
• Aja Oakman-Mahaffey, LCSW
• Thomas Oates
• Scott Vincent Obana, PA-C
• Domenica Arroyo Oberholtzer, PHARM.D.
• Anthony Joseph Oberti, D.C.

• Home Health Agency in Roseville, CA
• Providers in Roseville, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.