Eastbay Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EASTBAY HOME HEALTH SERVICES, INC

Practice address

1710 Pennsylvania Ave
Suite E
Fairfield, CA 94533-3589

Phone

(707) 428-1473

Fax

(707) 428-1276

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Cristina Santillan, RN

Title

Administrator

Phone

(707) 428-1473

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058199

Legal name

EASTBAY HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 10, 2003

Last certification

Dec 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2002 in CA

Enrollment address

1710 Pennsylvania Ave
Ste E
Fairfield, CA 94533-3549
HHA Branch

Listed as

East Bay Home Health ServicesCCN 058199 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Oct 10, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 5

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.

• Isaac Nozomu Luttio, MD

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1326545880

  Home health agency

  Care Compare affiliation
• Carlo D. Tarantino, MD

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1295813186

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710986435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PENNSYLVANIA AVE",
            "address_2": "SUITE E",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333589",
            "telephone_number": "707-428-1473",
            "fax_number": "707-428-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PENNSYLVANIA AVE",
            "address_2": "SUITE E",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333589",
            "telephone_number": "707-428-1473",
            "fax_number": "707-428-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTBAY HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTILLAN",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-428-1473",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08199F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zilaikha Eakin
• Elaina Ealycorasmith
• Bobbi Jean Earley
• Early Expressions Speech-Language Pathology, Inc.
• Danyelle Early
• Eastbay Hospice Inc
• Easter Seals Bay Area
• Eileen Eaton
• Patrisha Ebanks
• Shatese Eberhart

• Home Health Agency in Fairfield, CA
• Providers in Fairfield, 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 Aug 22, 2020; 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.