Excellent Care Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000852 Issued in CA

Legal business name

EXCELLENT CARE HOME HEALTH SERVICES, INC.

Practice address

13139 Central Ave Ste G
Chino, CA 91710-4126

Phone

(909) 581-3536

Fax

(909) 581-3615

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Helen Pak

Title

Ceo

Phone

(714) 227-9220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881678217. Details of each certification follow.

• CCN 058183 Home health agency · Active · Details

Home health agency certification: CCN 058183

Legal name

EXCELLENT CARE HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 21, 2003

Last certification

Dec 6, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 26, 2005 in CA

Enrollment address

13139 Central Ave
Ste G
Chino, CA 91710-4126

Listed as

Excellent Care Home Health Services, IncCCN 058183 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

May 21, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

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

• Charles Chol Bae Kim, MD

  • Adult Medicine Physician
  • Tustin, CA
  • NPI 1225564818

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1881678217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13139 CENTRAL AVE STE G",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104126",
            "telephone_number": "909-581-3536",
            "fax_number": "909-581-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13139 CENTRAL AVE STE G",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104126",
            "telephone_number": "909-581-3536",
            "fax_number": "909-581-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-227-9220"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08183F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Evans, DC
• Everside Health Chino Hills
• Excel RX Inc (Excel Care Pharmacy)
• Excellence Home Health Care Agency, Inc.
• Excellence Hospice Providers, Inc.
• Ana Eykel, MFTI
• Carrie Eleanor Fabella, RPT
• David Fairbanks, PMHNP-BC
• Lea Fajardo
• Raymond Fan, DDS

• Home Health Agency in Chino, CA
• Providers in Chino, 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 Oct 16, 2023; 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.