West Coast Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WEST COAST HOME HEALTH LLC

Practice address

29222 Rancho Viejo Rd
Suite 113D
San Juan Capistrano, CA 92675-1041

Phone

(949) 535-0566

Fax

(949) 535-0566

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Derek Collette

Title

Executive Director

Phone

(949) 535-0566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559551

Legal name

WEST COAST HOME HEALTH LLC

Doing business as

WEST COAST HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 21, 2020

Last certification

Oct 21, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 29, 2014 in ID

Enrollment address

29222 Rancho Viejo Rd
Ste 201
San Juan Capistrano, CA 92675-1045

Locations

All disclosed owners & managing parties 9

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ambrose Healthcare LLC

  • Home Health Agency
  • Layton, UT
  • NPI 1912401613

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Aspen Home Health Private Duty LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1063568178

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Ninergk, LLC

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1396891412

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Quivira Healthcare LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1174144174

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Sixrsig LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1730478603

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Sixrsig LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1881835585

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• The Aspen Group, Inc.

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1083760185

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• The Aspen Group, Inc.

  • Home Health Agency
  • Rexburg, ID
  • NPI 1710033832

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Utah Home Health and Hospice LLC

  • Community Based Hospice Care Agency
  • Orem, UT
  • NPI 1760705032

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership
• Utah Home Health and Hospice LLC

  • Home Health Agency
  • Provo, UT
  • NPI 1811088420

  Aspen Healthcare Holdings LLC, Aspen Healthcare Midco Holdings LLC, The Jeffrey and Jaimi Willson Family Trust

  CMS ownership

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

• Alberto Bessudo, M.D.

  • Hematology & Oncology Physician
  • Encinitas, CA
  • NPI 1003888074

  Home health agency

  Care Compare affiliation
• Adam P Ellis, M.D.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1285731661

  Home health agency

  Care Compare affiliation

Listed as

West Coast Home HealthCCN 559551

Ownership

Proprietary

Certified

Oct 21, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1720484207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD",
            "address_2": "SUITE 113D",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751041",
            "telephone_number": "949-535-0566",
            "fax_number": "949-535-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD",
            "address_2": "SUITE 113D",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751041",
            "telephone_number": "949-535-0566",
            "fax_number": "949-535-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-535-0566"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debra Wiederecht

• All providers in San Juan Capistrano, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.