Purity Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000331 Issued in CA

Legal business name

PURITY HOME HEALTH SERVICES

Doing business as

Purity Home Health Services

Practice address

12631 Imperial Hwy
Suite D118
Santa Fe Springs, CA 90670-4710

Phone

(562) 863-5652

Fax

(562) 929-3403

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Santos Larson

Title

Administrator

Phone

(562) 863-5652

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Purity Home Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058494

Legal name

PURITY HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 24, 2008

Last certification

Oct 22, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

12631 Imperial Hwy
Ste D118
Santa Fe Springs, CA 90670-6748

Listed as

Purity Home Health ServicesCCN 058494 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Sep 24, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, 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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Estrella Azurin Aguinaldo, M.D.

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1548339278

  Home health agency

  Care Compare affiliation
• Mir Basharat Ali, M.D.

  • Cardiovascular Disease Physician
  • Montebello, CA
  • NPI 1295759694

  Home health agency

  Care Compare affiliation
• Erin Atkinson Cook, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1558504381

  Home health agency

  Care Compare affiliation
• Arnel Joaquin, M.D.

  • Specialist
  • Glendale, CA
  • NPI 1720032980

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1821214032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "SUITE D118",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "SUITE D118",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704710",
            "telephone_number": "562-863-5652",
            "fax_number": "562-929-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURITY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-863-5652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "550000331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purity Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tiffany Ann Quezada
• Vanessa Quezada
• Mercedes Quiceno
• Kimberly Matilde Quintanilla

• Home Health Agency in Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 Oct 18, 2012; 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.