Organization Active NPI

Anchor Healthcare LLC

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1720525769
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANCHOR HEALTHCARE LLC
Practice address
3780 Kilroy Airport Way Ste 320
Long Beach, CA 90806-2496
Phone
(562) 432-6400
NPI assigned
Jan 29, 2017
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Stephanie Bailey
Title
Director of Special Projects
Phone
(661) 373-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3780 Kilroy Airport Way Ste 320
Long Beach, CA 90806-2496

Mailing address

3780 Kilroy Airport Way Ste 320
Long Beach, CA 90806-2496
Phone (562) 432-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170221002333 CA Part A Provider - Home Health Agency 4587948435 Practice locations: Long Beach, CA
O20241112001418 CA Part B Supplier - Clinic/Group Practice 4587948435 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720525769. Details of each certification follow.

Home health agency certification: CCN 057246

Legal name
ANCHOR HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 1, 1979
Last certification
May 1, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 1, 2016 in CA
Enrollment address
280 Atlantic Ave
Long Beach, CA 90802-3213
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Oxford HealthcareCCN 057246 · All quality measures
Ownership
Proprietary
Certified
Aug 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Services
Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

280 Atlantic Ave
Long Beach, CA 90802
Phone (310) 538-5400

3780 Kilroy Airport Way
Ste 320
Long Beach, CA 90806
Phone (562) 432-6400

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Don William Maniccia Individual 5% Or Greater Indirect Ownership InterestPresident/Secretary Mar 28, 2025 100%
Operational/Managerial Control Mar 28, 2025 100%
First Place Pediatric Solutions, Inc Organization, Austin, TX Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 28, 2025 100%
FPPS-Ca, LLC Organization, Austin, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 28, 2025 100%

Facilities with the same owner 2

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

Change-of-ownership history 1

DateEventCounterparty
Mar 29, 2017 Change of OwnershipThis provider was the buyer Oxford HealthcareCCN 057246, CA, NPI 1518990316

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1720525769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY STE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062496",
            "telephone_number": "562-432-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY STE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062496",
            "telephone_number": "562-432-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROJECTS",
        "authorized_official_telephone_number": "661-373-5943"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.