NPIMap

Organization Active NPI

Warm Springs Home Health, Inc.

  • Home Health Agency
  • Fremont, CA
National Provider Identifier
1790701175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WARM SPRINGS HOME HEALTH, INC.
Practice address
54 Whitney PL
Fremont, CA 94539-7662
Phone
(510) 490-6988
Fax
(510) 490-9588
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Alphie E De Guzman
Title
Governing Body/Ceo
Phone
(510) 490-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

54 Whitney PL
Fremont, CA 94539-7662

Mailing address

54 Whitney PL
Fremont, CA 94539-7662
Phone (510) 490-6988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060818000485 CA Part A Provider - Home Health Agency 7012910722 Practice locations: Fremont, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790701175. Details of each certification follow.

Home health agency certification: CCN 058425

Legal name
WARM SPRINGS HOME HEALTH, INC.
Doing business as
WARM SPRINGS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 8, 2007
Last certification
Aug 23, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 21, 2003 in CA
Enrollment address
54 Whitney PL
Fremont, CA 94539-7662

Care Compare: Home health agency

Medicare Care Compare
Listed as
Warm Springs Home Health, IncCCN 058425 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 8, 2007
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
05D1056668Warm Springs Home Health Inc54 Whitney Place, Fremont, CA 94539Certificate of waiverJul 20, 2026

National Provider Directory

National Provider Directory

Locations

54 Whitney Pl
Fremont, CA 94539
Phone (510) 490-6988

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
Carlito G Liamzon Individual W-2 Managing EmployeeDirector of Patient Care Service Aug 30, 2012
Operational/Managerial ControlDirector of Patient Care Service Aug 30, 2012 100%
Mario I de Guzman Individual Corporate OfficerCfo Nov 21, 2003 100%
Alphie E de Guzman Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Nov 21, 2003 100%
Corporate OfficerPresident/Ceo Nov 21, 2003 100%
Corporate DirectorPresident/Ceo Nov 21, 2003 100%
W-2 Managing EmployeeAdministrator Dec 10, 2007 100%
Operational/Managerial ControlAdministrator Dec 10, 2007 100%
Phillip F Tse Individual W-2 Managing EmployeeMedical Director Feb 18, 2013 100%
Operational/Managerial ControlMedical Director Feb 18, 2013 100%

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

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790701175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WHITNEY PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397662",
            "telephone_number": "510-490-6988",
            "fax_number": "510-490-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WHITNEY PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397662",
            "telephone_number": "510-490-6988",
            "fax_number": "510-490-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARM SPRINGS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ALPHIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GOVERNING BODY/CEO",
        "authorized_official_telephone_number": "510-490-6988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.