Organization Active NPI

Ethics America, Inc

  • Home Health Agency
  • Laguna Hills, CA
National Provider Identifier
1811408933
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ETHICS AMERICA, INC
Practice address
23151 Alcalde Dr Ste C2
Laguna Hills, CA 92653-1419
Phone
(949) 382-2662
Fax
(949) 382-2665
NPI assigned
Oct 16, 2017
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Shiva Kazemi
Title
President
Phone
(949) 382-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

23151 Alcalde Dr Ste C2
Laguna Hills, CA 92653-1419

Mailing address

23151 Alcalde Dr Ste C2
Laguna Hills, CA 92653-1419
Phone (949) 382-2662

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ethicsamerica.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502000329 CA Part A Provider - Home Health Agency 1951665710 Practice locations: Laguna Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811408933. Details of each certification follow.

Home health agency certification: CCN 559580

Legal name
ETHICS AMERICA, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 29, 2021
Last certification
Nov 29, 2021
Organization structure
CorporationProprietary
Incorporated
Sep 7, 2017 in CA
Enrollment address
23151 Alcalde Dr
Ste C2
Laguna Hills, CA 92653-1419

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ethics America, IncCCN 559580 · All quality measures
Ownership
-
Certified
Nov 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

25381 Alicia Pkwy
Ste N
Laguna Hills, CA 92653

Ownership & related parties

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.

NameRoleSinceShare
Shiva Kazemi Individual 5% Or Greater Direct Ownership Interest Sep 7, 2017 50%
Corporate OfficerPresident, Treasurer Sep 7, 2017 50%
W-2 Managing EmployeePresident Sep 7, 2017 100%
Changiz Mohajeri Individual 5% Or Greater Direct Ownership Interest Sep 7, 2017 50%
Corporate OfficerVice President, Secretary Sep 7, 2017 50%

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1811408933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23151 ALCALDE DR STE C2",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531419",
            "telephone_number": "949-382-2662",
            "fax_number": "949-382-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23151 ALCALDE DR STE C2",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531419",
            "telephone_number": "949-382-2662",
            "fax_number": "949-382-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHICS AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-382-2662"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ethicsamerica.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "address",
            "address_1": "23151 Alcalde Dr Ste C2",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.