Amberkare Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMBERKARE HOME HEALTH INC

Practice address

2751 E. Chapman Ave.
Suite 104
Fullerton, CA 92831

Phone

(714) 447-9300

Fax

(714) 447-9700

NPI assigned

Mar 18, 2016

Last updated

Sep 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joselolito T Soliven

Title

Ceo / Administrator

Phone

(714) 447-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811358823. Details of each certification follow.

• CCN 553131 Home health agency · Active · Details

Home health agency certification: CCN 553131

Legal name

AMBERKARE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 15, 2018

Last certification

Oct 15, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 25, 2015 in CA

Enrollment address

595 W Lambert Rd
Ste 201
Brea, CA 92821-3940

Listed as

Amberkare Home Health, IncCCN 553131 · All quality measures

Overall star rating

2 of 5

Ownership

Non-Profit

Certified

Oct 15, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Medical social, Home health aide, Physical therapy, Speech pathology, 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 1

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": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1811358823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 E. CHAPMAN AVE.",
            "address_2": "SUITE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-447-9300",
            "fax_number": "714-447-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 E. CHAPMAN AVE.",
            "address_2": "SUITE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-447-9300",
            "fax_number": "714-447-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERKARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "SOLIVEN",
        "authorized_official_first_name": "JOSELOLITO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO / ADMINISTRATOR",
        "authorized_official_telephone_number": "714-447-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.