NPIMap

Organization Active NPI

Assisted Home Recovery, Inc.

Doing business as Assisted Home Care

  • Home Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1831141845
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000571 Issued in CA
Legal business name
ASSISTED HOME RECOVERY, INC.
Doing business as
Assisted Home Care
Practice address
72 Moody CT Ste 200
Thousand Oaks, CA 91360-6067
Phone
(805) 371-9988
Fax
(805) 371-9987
NPI assigned
May 17, 2006
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSISTED HOME RECOVERY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Mr. Gerd F Kerswill, CPA
Title
Cfo
Phone
(805) 371-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000571 CA Primary

Addresses

Primary practice location

72 Moody CT Ste 200
Thousand Oaks, CA 91360-6067

Mailing address

72 Moody Court
Suite 100
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988

Other identifiers 1

IdentifierTypeStateIssuer
HHA07881FMedicaidCA

Other names 1

  • ASSISTED HOME CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000488 CA Part A Provider - Home Health Agency 5092894352 1 other NPI on this enrollment
Practice locations: Mission Hills, CA; Thousand Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831141845. Details of each certification follow.

Home health agency certification: CCN 557089

Legal name
ASSISTED HOME RECOVERY, INC.
Doing business as
ASSISTED HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 28, 1990
Last certification
Oct 19, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 26, 1989 in CA
Enrollment address
10550 Sepulveda Blvd
Ste 116
Mission Hills, CA 91345-1962

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assisted Home CareCCN 557089 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 28, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Assisted Home Recovery Inc7 organizations share this tax ID, including this one
Part of
Assisted Home Recovery Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

468 Pennsfield Pl
Ste 100
Thousand Oaks, CA 91360
Phone (805) 497-6207

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Diana Toretzky Individual W-2 Managing EmployeeDirector of Patient Care Services Jan 1, 2017
Elaine Denise Shelton Individual 5% Or Greater Direct Ownership InterestPresident Sep 26, 1989 51%
Corporate OfficerPresident Sep 26, 1989
Corporate DirectorPresident Sep 26, 1989
W-2 Managing EmployeePresident Sep 26, 1989
William Donley Individual 5% Or Greater Direct Ownership InterestChairman of the Board Sep 26, 1989 49%
Corporate OfficerChairman of the Board Sep 26, 1989
Corporate DirectorChairman of the Board Sep 26, 1989
W-2 Managing EmployeeChairman of the Board Sep 26, 1989

Practitioners & affiliated clinicians

Affiliated clinicians 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1831141845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOODY COURT",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MOODY CT STE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME RECOVERY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSISTED HOME RECOVERY, INC.",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "KERSWILL",
        "authorized_official_first_name": "GERD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-371-9988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07881F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSISTED HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASSISTED HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.