Organization Active NPI

Unique Home Health Services, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1750476180
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000855 Issued in CA
Legal business name
UNIQUE HOME HEALTH SERVICES, INC.
Practice address
596 North Lake Avenue
Suite 100
Pasadena, CA 91101-1222
Phone
(626) 577-7596
Fax
(626) 577-7828
NPI assigned
Oct 3, 2006
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Mr. Pervez P Delawalla
Title
Owner/Ceo
Phone
(626) 577-7596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000855 CA Primary

Addresses

Primary practice location

596 North Lake Avenue
Suite 100
Pasadena, CA 91101-1222

Mailing address

596 North Lake Avenue
Suite 100
Pasadena, CA 91101-1222
Phone (626) 577-7596

Other identifiers 1

IdentifierTypeStateIssuer
HHA57490FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080315000057 CA Part A Provider - Home Health Agency 0244315240 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750476180. Details of each certification follow.

Home health agency certification: CCN 557490

Legal name
UNIQUE HOME HEALTH SERVICES, INC.
Doing business as
INTERIM HEALTHCARE OF PASADENA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 4, 1995
Last certification
Dec 6, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 29, 1994 in CA
Enrollment address
596N Lake Ave 100
Pasadena, CA 91101-1222
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Unique Home Health Services IncCCN 557490 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jan 4, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D0907547Unique Home Health Services Inc596 North Lake Ave, Ste 101, Pasadena, CA 91101Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

596 N Lake Ave
Ste 100
Pasadena, CA 91101
Phone (626) 577-7596

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
Pervez Delawalla Individual 5% Or Greater Direct Ownership InterestCeo, Owner, Director Jul 22, 2022 100%
Corporate OfficerCeo, Owner, Director Jul 22, 2022 100%
Corporate DirectorCeo, Owner, Director Jul 22, 2022 50%
W-2 Managing EmployeeCeo, Owner, Director Jul 22, 2022 50%
Operational/Managerial ControlCeo, Owner, Director Jul 22, 2022 100%
Jasmine Delawalla Individual Corporate DirectorDirector Jul 22, 2022 50%
W-2 Managing EmployeeDirector Jul 22, 2022 50%

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 5

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1750476180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NORTH LAKE AVENUE",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011222",
            "telephone_number": "626-577-7596",
            "fax_number": "626-577-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 NORTH LAKE AVENUE",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011222",
            "telephone_number": "626-577-7596",
            "fax_number": "626-577-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "DELAWALLA",
        "authorized_official_first_name": "PERVEZ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-577-7596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57490F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.