NPIMap

Organization Active NPI

Bellestar Home Health Care, Inc

Doing business as Bellestar Home Health Care

  • Home Health Agency
  • Folsom, CA
National Provider Identifier
1831616283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BELLESTAR HOME HEALTH CARE, INC
Doing business as
Bellestar Home Health Care
Practice address
1568 Creekside Dr Ste 203
Folsom, CA 95630-3449
Phone
(916) 693-6677
Fax
(916) 693-6680
NPI assigned
Aug 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Olivia A Ajeakwa, RNNPI 1083171946
Title
Ceo
Phone
(916) 693-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1568 Creekside Dr Ste 203
Folsom, CA 95630-3449

Mailing address

1568 Creekside Dr Ste 203
Folsom, CA 95630-3449
Phone (916) 693-6677

Other names 1

  • BELLESTAR HOME HEALTH CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190521001289 CA Part A Provider - Home Health Agency 0941543623 Practice locations: Folsom, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831616283. Details of each certification follow.

Home health agency certification: CCN 559061

Legal name
BELLESTAR HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 4, 2019
Last certification
Oct 4, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 26, 2017 in CA
Enrollment address
1568 Creekside Dr
Ste 203
Folsom, CA 95630-3449

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bellestar Home Health Care, IncCCN 559061 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 4, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2148669Bellestar Home Health Care Inc1568 Creekside Dr Ste 203, Folsom, CA 95630Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

1568 Creekside Dr
Ste 203
Folsom, CA 95630
Phone (916) 693-6677

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
Esther S Bercea Individual 5% Or Greater Direct Ownership InterestOwner Aug 2, 2017 50%
Corporate OfficerCfo/VP Aug 2, 2017 50%
Corporate DirectorCfo/VP Aug 2, 2017 50%
W-2 Managing EmployeeCfo/VP Aug 2, 2017 50%
Operational/Managerial ControlCfo/VP Aug 2, 2017 50%
Olivia Ajeakwa Individual 5% Or Greater Direct Ownership InterestOwner Aug 2, 2017 50%
Corporate OfficerPresident/Sec/Administrator/DPCS Aug 2, 2017 50%
Corporate DirectorPresident/Sec/Administrator/DPCS Aug 2, 2017 50%
W-2 Managing EmployeePresident/Sec/Administrator/DPCS Aug 2, 2017 50%
Operational/Managerial ControlPresident/Sec/Administrator/DPCS Aug 2, 2017 50%
Bernarde M Udo Individual Operational/Managerial ControlAlternate Admin/DPCS(RN Designee Aug 9, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831616283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 CREEKSIDE DR STE 203",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303449",
            "telephone_number": "916-693-6677",
            "fax_number": "916-693-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 CREEKSIDE DR STE 203",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303449",
            "telephone_number": "916-693-6677",
            "fax_number": "916-693-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLESTAR HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "AJEAKWA",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-693-6677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLESTAR HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.