Organization Active NPI

Comprehensive Health Care Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1780638841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
058321 Issued in CA
Legal business name
COMPREHENSIVE HEALTH CARE INC.
Practice address
5250 W Century Blvd
Suite 615
Los Angeles, CA 90045-5972
Phone
(310) 568-9444
Fax
(310) 568-9044
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Godfrey U. Nwogene
Title
President
Phone
(310) 568-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 058321 CA Primary

Addresses

Primary practice location

5250 W Century Blvd
Suite 615
Los Angeles, CA 90045-5972

Mailing address

5250 W Century Blvd
Suite 615
Los Angeles, CA 90045-5972
Phone (310) 568-9444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030304000009 CA Part A Provider - Home Health Agency 6901715317 Practice locations: Los Angeles, CA

Home health agency certification: CCN 058321

Legal name
COMPREHENSIVE HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 2004
Last certification
Nov 21, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 28, 2001 in CA
Enrollment address
3440 Wilshire Blvd
Ste 1108
Los Angeles, CA 90010-2280

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comprehensive Health Care, IncCCN 058321
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 12, 2004
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
05D1007640Comprehensive Health Care Inc3440 Wilshire Blvd, Ste 1108, Los Angeles, CA 90010Certificate of waiverDec 23, 2026

National Provider Directory

National Provider Directory

Locations

5250 W Century Blvd
Ste 615
Los Angeles, CA 90045
Phone (310) 568-9444

Ownership & related parties

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.

NameRoleSinceShare
Grace P. Paulino Individual 5% Or Greater Direct Ownership InterestOwner Mar 7, 2008 100%
Corporate Director Mar 7, 2008
W-2 Managing Employee Mar 7, 2008

Practitioners & affiliated clinicians

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780638841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD",
            "address_2": "SUITE 615",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455972",
            "telephone_number": "310-568-9444",
            "fax_number": "310-568-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD",
            "address_2": "SUITE 615",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455972",
            "telephone_number": "310-568-9444",
            "fax_number": "310-568-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWOGENE",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-568-9444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "058321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.