NPIMap

Organization Active NPI

Lifesavers' Home Health Services, Inc.

  • Home Health Agency
  • La Habra, CA
National Provider Identifier
1770789554
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFESAVERS' HOME HEALTH SERVICES, INC.
Practice address
800 N Harbor Blvd Ste a
La Habra, CA 90631-3165
Phone
(714) 871-7700
Fax
(714) 871-7725
NPI assigned
Jun 26, 2007
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mr. Glenn D Dayap, RN
Title
Administrator
Phone
(714) 876-6280

Specialties & licenses 1

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

Addresses

Primary practice location

800 N Harbor Blvd Ste a
La Habra, CA 90631-3165

Mailing address

800 N Harbor Blvd Ste a
La Habra, CA 90631-3165
Phone (714) 871-7700

Other identifiers 2

IdentifierTypeStateIssuer
0677039MedicaidCA
059057OtherCAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001612 CA Part A Provider - Home Health Agency 6709850480 Practice locations: La Habra, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770789554. Details of each certification follow.

Home health agency certification: CCN 059057

Legal name
LIFESAVERS' HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 2009
Last certification
Apr 9, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 2, 2004 in CA
Enrollment address
800 N Harbor Blvd
Ste a
La Habra, CA 90631-3165

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifesavers' Home Health Services, IncCCN 059057 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 17, 2009
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
05D1039829Lifesavers Home Health Services Inc800 N Harbor Blvd Suite a, La Habra, CA 90631Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

2111 W Crescent Ave
Ste A
Anaheim, CA 92801
Phone (714) 876-6280

903 W Wilshire Ave
Fullerton, CA 92832
Phone (714) 871-7700

800 N Harbor Blvd
Ste A
La Habra, CA 90631
Phone (714) 871-0099

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Caroline M Lorenzo Individual 5% Or Greater Direct Ownership Interest Jun 2, 2004 50%
Corporate OfficerDirector Jun 2, 2004 50%
Corporate DirectorDirector Jun 2, 2004 50%
W-2 Managing EmployeeDirector Jun 2, 2004 40%
Operational/Managerial ControlDirector Jun 2, 2004 40%
Glenn D Dayap Individual 5% Or Greater Direct Ownership Interest Jun 2, 2004 50%
Corporate OfficerCeo Jun 2, 2004 50%
Corporate DirectorCeo Jun 2, 2004 50%
W-2 Managing EmployeeCeo Jun 2, 2004 40%
Operational/Managerial ControlCeo Jun 2, 2004 40%
Erwin Q Masinsin Individual W-2 Managing EmployeeChief Information Officer Jun 20, 2012 10%
Operational/Managerial ControlChief Information Officer Jun 1, 2012 10%
Alexander V Abary Individual Contracted Managing EmployeeMedical Director Aug 20, 2004 10%
Operational/Managerial ControlMedical Director Aug 20, 2004 10%

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

Affiliated clinicians 8

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1770789554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N HARBOR BLVD STE A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313165",
            "telephone_number": "714-871-7700",
            "fax_number": "714-871-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N HARBOR BLVD STE A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313165",
            "telephone_number": "714-871-7700",
            "fax_number": "714-871-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESAVERS' HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "DAYAP",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-876-6280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0677039",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "059057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.