Organization Active NPI

International Home Healthcare, Inc.

  • Home Health Agency
  • La Crescenta, CA
National Provider Identifier
1801917604
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001541 Issued in CA
Legal business name
INTERNATIONAL HOME HEALTHCARE, INC.
Practice address
2626 Foothill Blvd Ste 101
La Crescenta, CA 91214-3574
Phone
(213) 384-6731
Fax
(213) 384-8795
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Mrs. Hyunsil Jung, RN
Title
DPCS/Administrator
Phone
(213) 384-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001541 CA Primary

Addresses

Primary practice location

2626 Foothill Blvd Ste 101
La Crescenta, CA 91214-3574

Mailing address

3660 Wilshire Blvd
Suite 842
Los Angeles, CA 90010-2756
Phone (213) 384-6731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030324000033 CA Part A Provider - Home Health Agency 1254240450 Practice locations: La Crescenta, CA

Home health agency certification: CCN 058250

Legal name
INTERNATIONAL HOME HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2004
Last certification
Jul 26, 2019
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 2003 in CA
Enrollment address
2626 Foothill Blvd
Ste 101
La Crescenta, CA 91214-3574
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
International Home Health Care, IncCCN 058250
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1010809International Home Healthcare Inc2626 Foothill Blvd Ste 101, La Crescenta, CA 91214Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

2626 Foothill Blvd
Ste 101
La Crescenta, CA 91214
Phone (213) 384-6731

3660 Wilshire Blvd
Ste 842
Los Angeles, CA 90010
Phone (213) 384-6731

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Hyunsil Jung Individual 5% Or Greater Direct Ownership Interest Apr 26, 2021 100%
Corporate OfficerCeo,Cfo,Administrator,DPCS Apr 26, 2021 100%
Corporate DirectorCeo,Cfo,Administrator,DPCS Apr 26, 2021 100%
W-2 Managing EmployeeCeo,Cfo,Administrator,DPCS Apr 26, 2021 100%
Operational/Managerial ControlCeo,Cfo,Administrator,DPCS Mar 15, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1801917604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 WILSHIRE BLVD",
            "address_2": "SUITE 842",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102756",
            "telephone_number": "213-384-6731",
            "fax_number": "213-384-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FOOTHILL BLVD STE 101",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143574",
            "telephone_number": "213-384-6731",
            "fax_number": "213-384-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "HYUNSIL",
        "authorized_official_title_or_position": "DPCS/ADMINISTRATOR",
        "authorized_official_telephone_number": "213-384-6731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.