New Age Enterprises

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550002837 Issued in CA

Legal business name

NEW AGE ENTERPRISES

Practice address

817 W Beverly Blvd Ste 206
Montebello, CA 90640-4265

Phone

(323) 278-0995

Fax

(323) 297-5266

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Melissa Limon

Title

Regional Manager

Phone

(323) 613-6081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SGV Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059689

Legal name

NEW AGE ENTERPRISES

Doing business as

SGV HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 24, 2015

Last certification

Jul 19, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 28, 2011 in CA

Enrollment address

817 W Beverly Blvd
Ste 206
Montebello, CA 90640-4265
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• New Age Enterprises

  • Occupational Therapist
  • Downey, CA
  • NPI 1417227554

  0648438606

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• New Age Enterprises

  • Occupational Therapist
  • Downey, CA
  • NPI 1417227554

  O20130430000398

  Same enrollment

Listed as

SGV Home HealthCCN 059689

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Aug 24, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jorge Efren Manale, O.T.

  • Occupational Therapist
  • Downey, CA
  • NPI 1528016847

  5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lougel Barruga, PT

  • Physical Therapist
  • Downey, CA
  • NPI 1801203161
  NPD

Affiliated clinicians 2

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

• Eric Batres, MD

  • Family Medicine Physician
  • Bell, CA
  • NPI 1174638373

  Home health agency

  Care Compare affiliation
• Bertha Alicia Gonzalez, D.O.

  • Family Medicine Physician
  • Montebello, CA
  • NPI 1932295680

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1871998492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W BEVERLY BLVD",
            "address_2": "SUITE #206",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404251",
            "telephone_number": "323-278-0995",
            "fax_number": "323-297-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W BEVERLY BLVD STE 206",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404265",
            "telephone_number": "323-278-0995",
            "fax_number": "323-297-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "LIMON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "323-613-6081"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550002837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550002837",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGV Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Armando Nava
• Marcela Navarro
• Victor M Navarro, D.C.
• Mohinderjit Singh Neelam, M.D.
• Nelnar Hospice Care, Inc.
• Melvin NG
• Thien T Nguyen, O.D.
• Sandra Nieto, MD
• Nightingale'S Light Hospice Care, Inc.
• Noushin Adhami Dental Corporation

• Home Health Agency in Montebello, CA
• Providers in Montebello, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.