Organization Active NPI

Ability Home Health Services Inc

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1841728508
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABILITY HOME HEALTH SERVICES INC
Practice address
9560 Candida St
San Diego, CA 92126-4540
Phone
(760) 345-6835
Fax
(760) 546-2242
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Mr. Vernon Raras
Title
Administrator
Phone
(760) 534-5683

Specialties & licenses 1

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

Addresses

Primary practice location

9560 Candida St
San Diego, CA 92126-4540

Mailing address

9560 Candida St
San Diego, CA 92126-4540
Phone (760) 534-5683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803003982 CA Part A Provider - Home Health Agency 8729359096 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841728508. Details of each certification follow.

Home health agency certification: CCN 559080

Legal name
ABILITY HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2019
Last certification
Nov 21, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 13, 2017 in CA
Enrollment address
9560 Candida St
San Diego, CA 92126-4540
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ability Home Health Services IncCCN 559080 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 21, 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
05D2172957Ability Home Health Services Inc9560 Candida St, San Diego, CA 92126Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

9560 Candida St
San Diego, CA 92126
Phone (760) 345-6835

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Vernon Raras Individual 5% Or Greater Direct Ownership Interest Mar 13, 2017 16.5%
Corporate OfficerCfo, Treasurer Director of Patie Apr 3, 2017 20%
Corporate DirectorDirector of Patient Care Service Apr 3, 2017 100%
Operational/Managerial ControlChief Financial Officer Apr 3, 2017 25%
Joy Macasieb Individual 5% Or Greater Direct Ownership Interest Mar 13, 2017 16.5%
Corporate OfficerSecretary Member of the Board Apr 3, 2017 20%
Operational/Managerial ControlSecretary Member of the Board Apr 3, 2017 12.5%
Zhike Pruett Individual 5% Or Greater Direct Ownership InterestCeo, Board Member Mar 13, 2020 34%
Corporate OfficerCeo, Board Member Mar 13, 2020 20%
Corporate DirectorDPCS & Administrator Designee Mar 13, 2020 50%
Operational/Managerial ControlCeo,Board Member Mar 13, 2020 12.5%
Dawn Souriyavong Individual 5% Or Greater Direct Ownership Interest Mar 13, 2017 33%
Corporate OfficerVice President Member of the Boa Apr 3, 2017 20%

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1841728508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 CANDIDA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264540",
            "telephone_number": "760-534-5683",
            "fax_number": "760-546-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 CANDIDA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264540",
            "telephone_number": "760-345-6835",
            "fax_number": "760-546-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "RARAS",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-534-5683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.