NPIMap

Organization Active NPI

Xencare, Inc.

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1801430574
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
XENCARE, INC.
Doing business as
Wellpointe Home Health
Practice address
6590 N Jackson Ave
Fresno, CA 93710-4615
Phone
(559) 434-1839
Fax
(559) 797-4494
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
George Kutnerian
Title
Chief Executive Officer
Phone
(559) 434-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6590 N Jackson Ave
Fresno, CA 93710-4615

Mailing address

545 E Chesapeake Cir
Fresno, CA 93730-0740
Phone (559) 434-1839

Other names 1

  • Wellpointe Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412002291 CA Part A Provider - Home Health Agency 0547678567 Practice locations: Fresno, CA

Home health agency certification: CCN 757095

Legal name
XENCARE, INC.
Doing business as
WELLPOINTE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 2022
Last certification
Sep 28, 2022
Organization structure
CorporationProprietary
Incorporated
Sep 26, 2007 in CA
Enrollment address
7086 N Maple Ave
Ste 104
Fresno, CA 93720-8017

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wellpointe Home HealthCCN 757095 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Sep 29, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Xencare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Angelica Kutnerian Individual 5% Or Greater Indirect Ownership Interest Jul 31, 2020 49.9%
Corporate OfficerVice President/Secretary/Adminis Sep 26, 2007 49.9%
W-2 Managing EmployeeVice President/Secretary/Adminis Sep 26, 2007 49.9%
Xenhealth Inc Organization, Fresno, CA Corporation 5% Or Greater Direct Ownership Interest Nov 12, 2019 100%
5% Or Greater Security Interest Nov 12, 2019 100%
Operational/Managerial Control Nov 12, 2019 100%
George Kutnerian Individual 5% Or Greater Indirect Ownership Interest Nov 12, 2019 49.9%
Corporate OfficerPresident/Treasurer Sep 26, 2007 49.9%
W-2 Managing EmployeePresident/Treasurer Sep 26, 2007 49.9%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1801430574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E CHESAPEAKE CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300740",
            "telephone_number": "559-434-1839",
            "fax_number": "559-797-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 N JACKSON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104615",
            "telephone_number": "559-434-1839",
            "fax_number": "559-797-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "KUTNERIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-434-1839"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellpointe Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.