Organization Active NPI

Comprehensive Home Health Care & Hospice, Inc.

  • Home Health Agency
  • Vallejo, CA
National Provider Identifier
1861835936
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPREHENSIVE HOME HEALTH CARE & HOSPICE, INC.
Practice address
312 Georgia St
210
Vallejo, CA 94590-5964
Phone
(707) 554-4003
Fax
(707) 554-4043
NPI assigned
Apr 9, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Muzaffar Hussain
Title
President
Phone
(510) 789-8125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community Based Hospice Care Agency 251G00000X NU

Addresses

Primary practice location

312 Georgia St
210
Vallejo, CA 94590-5964

Mailing address

312 Georgia St
210
Vallejo, CA 94590-5964
Phone (707) 554-4003

Medicare participation

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

National Provider Directory

National Provider Directory

Locations

312 Georgia St
Ste 210
Vallejo, CA 94590
Phone (707) 554-4003

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
Muzaffar Hussain Individual 5% Or Greater Direct Ownership InterestPresident/Governing Body Member Oct 31, 2017 100%
Corporate OfficerPresident/Governing Body Member Oct 31, 2017 100%
W-2 Managing EmployeePresident/Governing Body Member Oct 31, 2017
Operational/Managerial ControlPresident/Governing Body Member Oct 31, 2017 50%
Naheed M Hussain Individual Corporate DirectorGoverning Body Member Oct 27, 2016 50%
W-2 Managing EmployeeAdministrator Oct 27, 2016 100%

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the seller Crossroads Hospice VallejoCCN 751700, CA, NPI 1336898337

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1861835936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GEORGIA ST",
            "address_2": "210",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905964",
            "telephone_number": "707-554-4003",
            "fax_number": "707-554-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GEORGIA ST",
            "address_2": "210",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905964",
            "telephone_number": "707-554-4003",
            "fax_number": "707-554-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HOME HEALTH CARE & HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MUZAFFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-789-8125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.