Active NPI
International Home Healthcare, Inc.
- Home Health Agency
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001541
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jan 24, 2003 in CA
- Enrollment address
- 2626 Foothill Blvd
Ste 101
La Crescenta, CA 91214-3574
Care Compare: Home health agency
Medicare Care Compare- Listed as
- International Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 1, 2004
- 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 |
|---|---|---|---|
| 05D1010809 | International Home Healthcare Inc | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hyunsil Jung | 5% Or Greater Direct Ownership Interest | Apr 26, 2021 | 100% |
| Corporate Officer | Apr 26, 2021 | 100% | |
| Corporate Director | Apr 26, 2021 | 100% | |
| W-2 Managing Employee | Apr 26, 2021 | 100% | |
| Operational/Managerial Control | Mar 15, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Downey, CA
- NPI 1679682876
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.