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Organization Active NPI

Kaweah Delta Health Care District

  • 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
Practice address
403 W Main St
Visalia, CA 93291-6240
Phone
(559) 624-2000
Fax
(559) 713-2356
NPI assigned
Mar 31, 2006
Organization subpart
Yes
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

Authorized official

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

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

Owned or controlled facilities with NPI records 11

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

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

Facilities with the same owner 10

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

Practitioners 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 112

Affiliated clinicians 53

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

View all 53

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kaweah Health Home HealthCCN 057255
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

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

Home health agency certification: CCN 057255

Medicare enrollment files
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

All disclosed owners & managing parties 9

Medicare enrollment files

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

All facility ownership & control disclosures 11

Medicare enrollment files

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

National Provider Directory

National Provider Directory
Tax ID family
Kaweah Delta District H27 organizations share this tax ID, including this one
Part of
Kaweah Delta District H

Other organizations with this tax ID 26

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

View all 26

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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 identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
HHA70052FMedicaidCA

Other names 1

NPPES NPI Registry
  • Kaweah Health Home Health Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@kdhcd.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70052F",
            "state": "CA"
        }
    ],
    "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.