Active NPI
Prestigious Home Health, Inc.
- Home Health Agency
- Covina, CA
National Provider Identifier
1801022140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000918
- Legal business name
- PRESTIGIOUS HOME HEALTH, INC.
- Practice address
- 1074 Park View Dr
Suite 103
Covina, CA 91724-3749 - Phone
- (626) 722-0279
- Fax
- (626) 722-0284
- NPI assigned
- Jun 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kristoffer R Estrella
- Title
- President
- Phone
- (626) 722-0278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000918 | CA | Primary |
Addresses
Primary practice location
1074 Park View Dr
Suite 103
Covina, CA 91724-3749
Mailing address
1074 Park View Dr Ste 103
Covina, CA 91724-3749
Phone (626) 722-0279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090622000137 | CA | Part A Provider - Home Health Agency | 7113078791 | Practice locations: Covina, CA |
Home health agency certification: CCN 059193
- Legal name
- PRESTIGIOUS HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 29, 2010
- Last certification
- Dec 6, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 9, 2007 in CA
- Enrollment address
- 1074 Park View Dr
Ste 103
Covina, CA 91724-3749
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Prestigious Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 29, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1103572 | Prestigious Home Health, Inc | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
1074 Park View Dr
Ste 103
Covina, CA 91724
Phone (626) 722-0279
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kristoffer R. Estrella | 5% Or Greater Direct Ownership Interest | May 7, 2009 | 100% |
| Corporate Officer | Aug 10, 2015 | 100% | |
| Lilia T Diamsay | W-2 Managing Employee | Jul 16, 2022 | 100% |
| Operational/Managerial Control | Jul 16, 2022 | 100% | |
| Janadyl F Rodelas | Corporate Director | Aug 10, 2015 | 100% |
| Operational/Managerial Control | Aug 10, 2015 | 100% | |
| Ma Christina Estrella | Corporate Officer | Aug 10, 2015 | 100% |
| Operational/Managerial Control | Aug 10, 2015 |
Practitioners & affiliated clinicians
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Los Angeles, CA
- NPI 1285966903
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1801022140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 PARK VIEW DR STE 103",
"city": "COVINA",
"state": "CA",
"postal_code": "917243749",
"telephone_number": "626-722-0279",
"fax_number": "626-608-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 PARK VIEW DR",
"address_2": "SUITE 103",
"city": "COVINA",
"state": "CA",
"postal_code": "917243749",
"telephone_number": "626-722-0279",
"fax_number": "626-722-0284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGIOUS HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-01",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "ESTRELLA",
"authorized_official_first_name": "KRISTOFFER",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-722-0278",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.