NPIMap

Organization Active NPI

Suncrest Home Health Services, Inc.

  • Home Health Agency
  • Chino, CA
National Provider Identifier
1861634115
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNCREST HOME HEALTH SERVICES, INC.
Practice address
12598 Central Ave Ste 201
Chino, CA 91710-3530
Phone
(909) 399-1122
Fax
(909) 399-1115
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Gene John Carvajal Mabasa
Title
Ceo
Phone
(909) 399-1122

Specialties & licenses 1

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

Addresses

Primary practice location

12598 Central Ave Ste 201
Chino, CA 91710-3530

Mailing address

12598 Central Ave Ste 201
Chino, CA 91710-3530
Phone (909) 399-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000601 CA Part A Provider - Home Health Agency 8022143023 Practice locations: Chino, CA

Home health agency certification: CCN 059259

Legal name
SUNCREST HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 19, 2010
Last certification
Jun 29, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 19, 2008 in CA
Enrollment address
12598 Central Ave
Ste 201
Chino, CA 91710-3530
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suncrest Home Health Services IncCCN 059259
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Oct 19, 2010
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
05D1102136Suncrest Home Health Services, Inc12598 Central Avenue, Suite 201, Chino, CA 91710Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

Locations

12598 Central Ave
Ste 201
Chino, CA 91710
Phone (909) 399-1122

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
Magued E Barsoom Individual 5% Or Greater Direct Ownership Interest Apr 1, 2018 50%
Corporate OfficerVice President/Chief Financial O Dec 27, 2017 50%
Corporate DirectorVice President/Chief Financial O Dec 27, 2017 50%
W-2 Managing EmployeeVice President/Chief Financial O Dec 27, 2017 50%
Gene J Mabasa Individual 5% Or Greater Direct Ownership Interest Apr 1, 2018 50%
Corporate OfficerPresident/Chief Executive Office Dec 27, 2017 50%
Corporate DirectorPresident/Chief Executive Office Dec 27, 2017 50%
W-2 Managing EmployeePresident/Chief Executive Office Dec 27, 2017 50%

Practitioners & affiliated clinicians

Affiliated clinicians 71

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

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1861634115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE STE 201",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103530",
            "telephone_number": "909-399-1122",
            "fax_number": "909-399-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE STE 201",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103530",
            "telephone_number": "909-399-1122",
            "fax_number": "909-399-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "MABASA",
        "authorized_official_first_name": "GENE JOHN",
        "authorized_official_middle_name": "CARVAJAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-399-1122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.