NPIMap

Organization Active NPI

Pioneer Home Health Care, Inc.

  • Home Health Agency
  • Bishop, CA
National Provider Identifier
1790782241
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
240000403 Issued in CA
Legal business name
PIONEER HOME HEALTH CARE, INC.
Practice address
363 Academy St
Bishop, CA 93514-2603
Phone
(760) 872-4663
Fax
(760) 872-4665
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Patricia D West, RN, PHN
Title
Administrator
Phone
(760) 872-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 240000403 CA Primary

Addresses

Primary practice location

363 Academy St
Bishop, CA 93514-2603

Mailing address

363 Academy St
Bishop, CA 93514-2603
Phone (760) 872-4663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000890 CA Part A Provider - Home Health Agency 6103958327 Practice locations: Bishop, CA

Home health agency certification: CCN 557008

Legal name
PIONEER HOME HEALTH CARE, INC.
Doing business as
HOSPICE OF THE OWEN VALLEY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 24, 1991
Last certification
Mar 8, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1999 in CA
Enrollment address
363 Academy St
Bishop, CA 93514-2603
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pioneer Home Health CareCCN 557008
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Jan 24, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Mary Mae Kilpatrick Individual Corporate DirectorMember of Corporate Board Feb 21, 2018
Lynda Salcido Individual Corporate DirectorMember of Corporate Board May 16, 2018
Randall W. Vantassell Individual Corporate OfficerPresident of Corporate Board Dec 10, 1998
Ruby Allen Individual Operational/Managerial ControlAdministrator Mar 1, 2020
Marga Foote Individual Corporate OfficerSecretary of Corporate Board Mar 27, 2013
Thomas Joseph Boo Individual Corporate DirectorMember of Corporate Board Apr 27, 2013
Kelli Davis Individual Corporate OfficerCorporate Board Member Sep 18, 2020

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790782241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ACADEMY ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142603",
            "telephone_number": "760-872-4663",
            "fax_number": "760-872-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ACADEMY ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142603",
            "telephone_number": "760-872-4663",
            "fax_number": "760-872-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-872-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, PHN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.