NPIMap

Organization Active NPI

United Care Homes, Inc. - Kinbrae

  • Intellectual Disabilities Intermediate Care Facility
  • Hacienda Heights, CA
National Provider Identifier
1841344918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
UNITED CARE HOMES, INC. - KINBRAE
Practice address
1160 Kinbrae Ave
Hacienda Heights, CA 91745-2023
Phone
(626) 369-2970
Fax
(626) 369-2970
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susana Tubianosa
Title
President
Phone
(626) 831-2833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

1160 Kinbrae Ave
Hacienda Heights, CA 91745-2023

Mailing address

1982 Camwood Ave
Rowland Heights, CA 91748-4044
Phone (626) 810-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841344918. Details of each certification follow.

  • CCN 55G046 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G046

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNITED CARE HOMES - KINBRAE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 30, 1996
Last certification
May 29, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
1160 Kinbrae Avenue
Hacienda Heights, CA 91745

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
05D2025986United Care Homes Inc-Kinbrae1160 Kinbrae Ave, Hacienda Heights, CA 91745Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pure Joy 18 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841344918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 CAMWOOD AVE",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484044",
            "telephone_number": "626-810-5567",
            "fax_number": "626-810-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 KINBRAE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917452023",
            "telephone_number": "626-369-2970",
            "fax_number": "626-369-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE HOMES, INC. - KINBRAE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUBIANOSA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-831-2833"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.