Warm Springs Home Health, Inc.
Organization Active NPI Home Health Agency · Fremont, CA
NPI 1790701175 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1790701175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Alphie E De Guzman
- Title
- Governing Body/Ceo
- Phone
- (510) 490-6988
Owners & managing parties with NPI records 1
-
Phillip Foon Tse, M.D.
Practitioners 1
Affiliated clinicians 22
-
Dunni Ayobami Adalumo, M.D.
-
Michael Robert Alper, M.D.
-
Nikhil M Apte, MD
-
Deepthy Damien, M.D.
-
Jasdeep Dhami, M.D.
-
Shital C. Hubli, M.D.
-
Samata Kanagala, M.D
-
Narendra Malani, MD
-
Jagdish A Patel, M.D.
-
Pranjalkumar H Patel, M.D.
-
Sunil H Patel, MD
-
Ian Thomas Pulliam, D.O.
-
Razia Abbas Rangwala, M.D.
-
Neel Shah, M.D.
-
Saket Rajendra Shah, D.O.
-
Zahid Ismail Shaikh, M.D.
-
Lorena H Tan, MD
-
Howard L Zeiger, M.D.
-
Taffere Negat Mihretu, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Warm Springs Home Health, Inc
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Nov 8, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1056668 | Warm Springs Home Health Inc | Certificate of waiver | Jul 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Incorporated
- Nov 21, 2003 in CA
- Enrollment address
- 54 Whitney PL
Fremont, CA 94539-7662
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Carlito G Liamzon |
W-2 Managing Employee |
Aug 30, 2012 | |
| Operational/Managerial Control |
Aug 30, 2012 | 100% | |
| Mario I de Guzman |
Corporate Officer |
Nov 21, 2003 | 100% |
| Alphie E de Guzman |
5% Or Greater Direct Ownership Interest |
Nov 21, 2003 | 100% |
| Corporate Officer |
Nov 21, 2003 | 100% | |
| Corporate Director |
Nov 21, 2003 | 100% | |
| W-2 Managing Employee |
Dec 10, 2007 | 100% | |
| Operational/Managerial Control |
Dec 10, 2007 | 100% | |
| Phillip F Tse |
W-2 Managing Employee |
Feb 18, 2013 | 100% |
| Operational/Managerial Control |
Feb 18, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060818000485 | CA | Part a Provider - Home Health Agency | 7012910722 | Practice locations: Fremont, CA |
National Provider Directory
Locations
54 Whitney Pl
Fremont, CA 94539
Phone (510) 490-6988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
54 Whitney PL
Fremont, CA 94539-7662
Mailing address
54 Whitney PL
Fremont, CA 94539-7662
Phone (510) 490-6988
Other providers in Fremont, CA
- Jesse Albert Ward
- Kate Ward
- Jordyn Wardlaw
- Warm Acupuncture Inc
- Warm Springs Chiropractic
- Tiana L Warner
- Alyssa Warr
- Warren M Johnson D.P.M., Inc.
- Washington Family Health Medical Group, Inc.
- Washington Hospital Cardiology Dept.
All providers in Fremont, 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 22, 2020. 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.