Magnificent Healtcare Systems, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAGNIFICENT HEALTCARE SYSTEMS, INC

Practice address

5924 E Los Angeles St
Suite S
Simi Valley, CA 93063

Phone

(805) 526-6888

Fax

(805) 526-3888

NPI assigned

Aug 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lourdes Gumpal Ramos, REGISTERED NURSE

Title

Administrator/Director of Patient C

Phone

(805) 526-6888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059244

Legal name

MAGNIFICENT HEALTCARE SYSTEMS, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 22, 2010

Last certification

Apr 24, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

5924E Los Angeles Ave
S
Simi Valley, CA 93063-5526

Listed as

Magnificent Healthcare Systems IncCCN 059244

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

May 22, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Chok Ping Wan, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1346346616

  Home health agency

  Care Compare affiliation
• John K Young, D.O.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1477638898

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1770749459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 E. LOS ANGELES ST",
            "address_2": "SUITE S",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93063",
            "telephone_number": "805-526-6888",
            "fax_number": "805-526-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES ST",
            "address_2": "SUITE S",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93063",
            "telephone_number": "805-526-6888",
            "fax_number": "805-526-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICENT HEALTCARE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "GUMPAL",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF PATIENT C",
        "authorized_official_telephone_number": "805-526-6888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hennessey Alexis Magdaleno
• Katina Arianna Magdos, D.D.S.
• Maggie'S Pharmacy Inc
• Maggie'S Pharmacy Inc
• Patricia Mae Bernardo Magnaye
• Jill Magoffin
• Andrew Magpali, D.P.T
• Karim Nouri Mahdavie, MD
• Andrew Laurence Mahler, D.D.S.
• Harvey Mahler, DDS

• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.