Affinity Healthcare Ventura, Inc.
Organization Active NPI Home Health Agency · Redlands, CA
NPI 1760136840 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1760136840
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AFFINITY HEALTHCARE VENTURA, INC.
- Practice address
- 101 E Redlands Blvd Ste 243
Redlands, CA 92373-4752 - Phone
- (626) 655-8457
- Fax
- (626) 655-8456
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Israel Cabreros
- Title
- Ceo
- Phone
- (626) 655-8457
Affiliated clinicians 3
-
Soledad O Lee, MD
-
Hicham Siouty, MD
-
Philip Zhou, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Affinity Healthcare Ventura, Inc.
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- -
- Certified
- Jul 4, 2023
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 757579
- Legal name
- AFFINITY HEALTHCARE VENTURA INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 4, 2023
- Last certification
- Jan 31, 2024
- Organization structure
- Corporation · Proprietary
- Incorporated
- Nov 19, 2021 in CA
- Enrollment address
- 310 S Wells Rd
Ste 207a
Ventura, CA 93004-1356
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Sweety Eapen |
W-2 Managing Employee | Jan 1, 2023 | |
| Roni Eapen |
5% Or Greater Direct Ownership Interest |
Nov 19, 2021 | 100% |
| Corporate Officer | Nov 19, 2021 | 100% | |
| Corporate Director | Nov 19, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230508001094 | CA | Part a Provider - Home Health Agency | 0941665368 | Practice locations: Ventura, CA |
National Provider Directory
Locations
101 E Redlands Blvd
Ste 243
Redlands, CA 92373
Phone (626) 655-8457
310 S Wells Rd
Ste 207A
Ventura, CA 93004
Phone (626) 655-8457
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
101 E Redlands Blvd Ste 243
Redlands, CA 92373-4752
Mailing address
101 E Redlands Blvd Ste 243
Redlands, CA 92373-4752
Phone (626) 655-8457
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.GMAIL.COM |
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All providers in Redlands, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.