Health Is Wealth Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTH IS WEALTH HOME HEALTH AGENCY LLC

Practice address

3135 Clayton Rd
Concord, CA 94519-2795

Phone

(651) 331-9212

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Foncho Fobanjong

Title

Owner

Phone

(911) 331-9212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559031

Legal name

HEALTH IS WEALTH HOME HEALTH AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 8, 2019

Last certification

Aug 8, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 20, 2017 in CA

Enrollment address

3135 Clayton Rd
Ste 101
Concord, CA 94519-2796
HHA Branch

Listed as

Health Is Wealth Home Health Agency LLCCCN 559031

Ownership

Proprietary

Certified

Aug 8, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1801334461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192795",
            "telephone_number": "651-331-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IS WEALTH HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "FOBANJONG",
        "authorized_official_first_name": "FONCHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "911-331-9212"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.

Verify at the official NPI Registry.