Active NPI
St. Luke'S Home Health Services, Inc.
- Home Health Agency
- Buena Park, CA
National Provider Identifier
1881875367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000459
- Legal business name
- ST. LUKE'S HOME HEALTH SERVICES, INC.
- Practice address
- 6850 Lincoln Ave Ste 202
Buena Park, CA 90620-4188 - Phone
- (714) 484-4628
- Fax
- (714) 484-0965
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rolando Abrina, RN
- Title
- Administrator
- Phone
- (714) 484-4628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000459 | CA | Primary |
Addresses
Primary practice location
6850 Lincoln Ave Ste 202
Buena Park, CA 90620-4188
Mailing address
6850 Lincoln Ave Ste 202
Buena Park, CA 90620-4188
Phone (714) 484-4628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08385F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040922001267 | CA | Part A Provider - Home Health Agency | 1355319716 | Practice locations: Buena Park, CA |
Home health agency certification: CCN 058385
- Legal name
- ST. LUKE'S HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 17, 2007
- Last certification
- Dec 5, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 5, 2003 in CA
- Enrollment address
- 6850 Lincoln Ave
Ste 202
Buena Park, CA 90620-4188
Care Compare: Home health agency
Medicare Care Compare- Listed as
- St Luke'S Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 17, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
6850 Lincoln Ave
Ste 202
Buena Park, CA 90620
Phone (714) 484-4628
5721 Lincoln Ave
Ste P
Cypress, CA 90630
Phone (714) 484-4628
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Annaliza Zalameda Gestuvo | 5% Or Greater Direct Ownership Interest | Jan 1, 2022 | 100% |
| Corporate Officer | Jan 1, 2022 | 100% | |
| Corporate Director | Jan 1, 2022 | 100% | |
| Rolando S Abrina | W-2 Managing Employee | Dec 5, 2003 | 50% |
| Operational/Managerial Control | Jan 1, 2022 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1801852900
Home health agency
-
- Orthopaedic Surgery Physician
- Long Beach, CA
- NPI 1679512560
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1881875367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 LINCOLN AVE STE 202",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204188",
"telephone_number": "714-484-4628",
"fax_number": "714-484-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 LINCOLN AVE STE 202",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204188",
"telephone_number": "714-484-4628",
"fax_number": "714-484-0965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "ABRINA",
"authorized_official_first_name": "ROLANDO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-484-4628",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08385F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.