Gibraltar Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GIBRALTAR HOME HEALTH SERVICES, LLC

Practice address

22141 Ventura Blvd Ste 300
Woodland Hills, CA 91364-5734

Phone

(818) 880-8600

Fax

(818) 880-8675

NPI assigned

Apr 3, 2008

Last updated

Mar 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nkem Ezeuka

Title

Administrator

Phone

(818) 880-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720251440. Details of each certification follow.

• CCN 058477 Home health agency · Active · Details

Home health agency certification: CCN 058477

Legal name

GIBRALTAR HOME HEALTH SERVICES, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 22, 2008

Last certification

Jul 26, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 10, 2006 in CA

Enrollment address

22141 Ventura Blvd
Ste 300
Woodland Hills, CA 91364-5734

Listed as

Gibraltar Home Health Services LLCCCN 058477 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 22, 2008

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 2

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

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1720251440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641663",
            "telephone_number": "818-880-8600",
            "fax_number": "818-880-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD STE 300",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645734",
            "telephone_number": "818-880-8600",
            "fax_number": "818-880-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBRALTAR HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "EZEUKA",
        "authorized_official_first_name": "NKEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-880-8600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Krista Giffin, AMFT
• Maira Gil
• Darin Gilchrist, LMFT

• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Mar 25, 2024; 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.