NPIMap

Organization Active NPI

Kaweah Delta Health Care District

Doing business as Kaweah Health Home Health

  • Home Health Agency
  • Visalia, CA
National Provider Identifier
1790746378
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
120000569 Issued in CA
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
Kaweah Health Home Health
Practice address
403 W Main St
Visalia, CA 93291-6240
Phone
(559) 624-2000
Fax
(559) 713-2356
NPI assigned
Mar 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Malinda Tupper
Title
SRVP/Chief Financial Officer
Phone
(559) 624-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 120000569 CA Primary

Addresses

Primary practice location

403 W Main St
Visalia, CA 93291-6240

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2739

Other names 1

  • Kaweah Health Home Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@kdhcd.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080729000289 CA Part A Provider - Home Health Agency 6608778790 Practice locations: Visalia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790746378. Details of each certification follow.

Home health agency certification: CCN 057255

Legal name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
KAWEAH HEALTH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 3, 1980
Last certification
Sep 27, 2019
Ownership / control type
Proprietary
Organization structure
GovernmentNon-profit
Enrollment address
403 W Main St
Visalia, CA 93291-6240

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kaweah Health Home HealthCCN 057255 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 3, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Poterville Hemodialysis28 organizations share this tax ID, including this one
Part of
Poterville Hemodialysis

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jagdev Batth Individual Corporate OfficerChief Operations Officer Mar 1, 2020
W-2 Managing EmployeeChief Operations Officer Mar 1, 2020
Dean Levitan Individual Corporate DirectorBoard Member/Zone 3 Feb 9, 2024
Anthony Olmos Individual Corporate DirectorBoard Member/Zone 1 Dec 4, 2020
Benjamin Cripps Individual Corporate OfficerChief Compliance & Risk Officer Feb 12, 2017
W-2 Managing EmployeeChief Compliance & Risk Officer Feb 12, 2017
Malinda Tupper Individual Corporate OfficerChief Financial Officer Feb 4, 2018
W-2 Managing EmployeeCfo Feb 4, 2018
Armando Murrieta Individual Corporate DirectorBoard Member/Zone 5 Dec 4, 2024
Marc Mertz Individual Corporate OfficerChief Executive Officer Dec 22, 2025
W-2 Managing EmployeePrior Chief Strategy Officer Oct 1, 2018
Kaweah Delta Health Care District Organization, Visalia, CA 5% Or Greater Direct Ownership Interest Jul 17, 2008 100%
Scott Baker Individual Corporate OfficerInterim Chief Nursing Officer Dec 12, 2025
W-2 Managing Employee Nov 25, 2024

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaweah Health Medical CenterVisalia, CA, CCN 050057 Hospital Operational/Managerial Control Jul 1, 1967
Kaweah Health Rehabilitation HospitalVisalia, CA, CCN 05T057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Mental Health HospitalVisalia, CA, CCN 05S057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Skilled Nursing CenterVisalia, CA, CCN 555396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 24, 1989
Dec 16, 2024
Jan 7, 2025
Kaweah Health HospiceVisalia, CA, CCN 051748 Hospice 5% Or Greater Direct Ownership Interest (100%) May 16, 2002
Kaweah Health Exeter ClinicExeter, CA, CCN 058508 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 17, 2008
Kaweah Health Lindsay ClinicLindsay, CA, CCN 058649 Rural health clinic 5% Or Greater Direct Ownership Interest Jun 19, 2009
Kaweah Health Woodlake ClinicWoodlake, CA, CCN 058659 Rural health clinic Other Jan 12, 2012
Kaweah Health Dinuba ClinicDinuba, CA, CCN 058677 Rural health clinic Operational/Managerial Control Sep 1, 2014
Kaweah Health Tulare ClinicTulare, CA, CCN 058717 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021
Kaweah Health Valencia ClinicWoodlake, CA, CCN 058734 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 19, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790746378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916240",
            "telephone_number": "559-624-2000",
            "fax_number": "559-713-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "SRVP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-624-4065"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "120000569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@kdhcd.org",
            "affiliation": "N",
            "address_1": "403 W Main St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932916240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaweah Health Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.