New Haven Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05D0996164 Issued in CA

Legal business name

NEW HAVEN HOME HEALTH SERVICES, INC.

Practice address

333 Gellert Blvd
Suite 249
Daly City, CA 94015-2621

Phone

(650) 301-1660

Fax

(650) 301-1663

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Eunice Domingo Bejar-Lee, RN,BSN, CHA

Title

Ceo/Administrator

Phone

(650) 301-1660

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058110

Legal name

NEW HAVEN HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 17, 2002

Last certification

Feb 28, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 22, 2001 in CA

Enrollment address

333 Gellert Blvd
Ste 227
Daly City, CA 94015-2660

Listed as

New Haven Home Health Services, Inc.CCN 058110

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Apr 17, 2002

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

Locations

All disclosed owners & managing parties 3

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.

• Hermenegildo G Angeles Jr., MD APC

  • Geriatric Medicine (Family Medicine) Physician
  • Daly City, CA
  • NPI 1396712303

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 8

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

• Angelo C Arcilla, MEDICAL DOCTOR

  • Family Medicine Physician
  • Daly City, CA
  • NPI 1821093394

  Home health agency

  Care Compare affiliation
• Carl E Bricca, D.O.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1114925385

  Home health agency

  Care Compare affiliation
• Lornalyn De Jesus Carrillo, M.D.

  • Family Medicine Physician
  • Daly City, CA
  • NPI 1558383844

  Home health agency

  Care Compare affiliation
• Diana V Jao, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1780683789

  Home health agency

  Care Compare affiliation
• Kris C Kealey, MD

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1144243361

  Home health agency

  Care Compare affiliation
• Natasha Khokhar

  • Student in an Organized Health Care Education/Training Program
  • French Camp, CA
  • NPI 1871168286

  Home health agency

  Care Compare affiliation
• Yong Liu, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1316137987

  Home health agency

  Care Compare affiliation
• Stephen NG, MD

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
  • NPI 1336230432

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1881609436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 249",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "650-301-1660",
            "fax_number": "650-301-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 249",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "650-301-1660",
            "fax_number": "650-301-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "BEJAR-LEE",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "650-301-1660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BSN, CHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "05D0996164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE",
            "identifier": "220000466",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08110F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis T. Nerenberg, MD
• Hannah Grace Neto
• Ari Seth Neulight
• Maria Carmen Ines Cabrera Nevalga, RDN
• Sarah Nevmerzycki
• Debra Newman, MD
• Kelley M Newton
• Brian NG, M.D.
• Lyra W. NG, M.D.
• Nicole NG

• Home Health Agency in Daly City, CA
• Providers in Daly City, 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 Aug 27, 2014; 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.