Organization Active NPI

South Valley Home Health Corporation

Doing business as South Valley Home Health Cooporation

  • Home Health Agency
  • Visalia, CA
National Provider Identifier
1720858277
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTH VALLEY HOME HEALTH CORPORATION
Doing business as
South Valley Home Health Cooporation
Practice address
1640 W Mineral King Ave Ste 203
Visalia, CA 93291-4467
Phone
(559) 240-6065
NPI assigned
Jan 5, 2024
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Melissa Rae Homan, RN
Title
Ceo/President
Phone
(559) 240-6065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1640 W Mineral King Ave Ste 203
Visalia, CA 93291-4467

Mailing address

PO Box 6454
Visalia, CA 93290-6454
Phone (559) 240-6065

Other names 1

  • South Valley Home Health Cooporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250327002574 CA Part A Provider - Home Health Agency 1153844493 Practice locations: Visalia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720858277. Details of each certification follow.

Home health agency certification: CCN 758220

Legal name
SOUTH VALLEY HOME HEALTH CORPORATION
Doing business as
SOUTH VALLEY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 8, 2025
Last certification
Oct 8, 2025
Organization structure
CorporationProprietary
Enrollment address
1640 W Mineral King Ave
Ste 203
Visalia, CA 93291-4467
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
South Valley Home HealthCCN 758220 · All quality measures
Ownership
-
Certified
Oct 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2335743South Valley Home Health Corporation1640 W Mineral King Ste 203, Visalia, CA 93291Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

1640 W Mineral King Ave
Ste 203
Visalia, CA 93291
Phone (559) 240-6065

Ownership & related parties

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.

NameRoleSinceShare
Phillip a Myers Individual 5% Or Greater Direct Ownership InterestOwner/Sec Apr 17, 2025 49%
Corporate DirectorOwner/Sec Apr 17, 2025
Melissa R Homan Individual Contracted Managing EmployeeAd; Dec 9, 2024 100%
5% Or Greater Direct Ownership InterestOwner Dec 9, 2024 51%
Corporate Officer Dec 9, 2024 51%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1720858277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6454",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932906454",
            "telephone_number": "559-240-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W MINERAL KING AVE STE 203",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914467",
            "telephone_number": "559-240-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY HOME HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "HOMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "559-240-6065",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Valley Home Health Cooporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Valley Home Health Cooporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.