NPIMap

Organization Active NPI

A Caring Life Home Health Inc.

  • Home Health Agency
  • Tracy, CA
National Provider Identifier
1851924286
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A CARING LIFE HOME HEALTH INC.
Practice address
35 E 10TH St Ste H
Tracy, CA 95376-4083
Phone
(209) 205-9469
Fax
(209) 205-9523
NPI assigned
Feb 13, 2020
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Gurkirat Kaur
Title
Owner/Ceo
Phone
(510) 908-0090

Specialties & licenses 1

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

Addresses

Primary practice location

35 E 10TH St Ste H
Tracy, CA 95376-4083

Mailing address

35 E 10TH St Ste H
Tracy, CA 95376-4083
Phone (209) 205-9469

Other practice location 1

215-237 Estudillo Avenue,
Suite 205
San Leandro, CA 94577
Phone (510) 908-0090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518000386 CA Part A Provider - Home Health Agency 7113336488 Practice locations: Tracy, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851924286. Details of each certification follow.

Home health agency certification: CCN 559629

Legal name
A CARING LIFE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 15, 2021
Last certification
Oct 15, 2021
Organization structure
CorporationProprietary
Incorporated
Oct 9, 2019 in CA
Enrollment address
35 E 10TH St
Ste H
Tracy, CA 95376-4083
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
A Caring Life Home Health, Inc.CCN 559629 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Oct 15, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2234142A Caring Life Home Health Inc35 E 10TH Street Suite #H, Tracy, CA 95376Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Mandeep Kaur Individual 5% Or Greater Direct Ownership Interest Oct 9, 2019 50%
Corporate OfficerOwner/Ceo Oct 9, 2019 50%
Corporate DirectorOwner/Ceo Oct 9, 2019 50%
W-2 Managing EmployeeOwner/Ceo Oct 9, 2019 50%
Gurkirat Kaur Individual 5% Or Greater Direct Ownership Interest Oct 9, 2019 50%
Corporate OfficerDirector/Ceo Oct 9, 2019 50%

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1851924286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 10TH ST STE H",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764083",
            "telephone_number": "209-205-9469",
            "fax_number": "209-205-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 10TH ST STE H",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764083",
            "telephone_number": "209-205-9469",
            "fax_number": "209-205-9523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215-237 Estudillo Avenue,",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "94577",
            "country_code": "US",
            "telephone_number": "510-908-0090",
            "fax_number": "510-281-1434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A CARING LIFE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "GURKIRAT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "510-908-0090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.