Marvelle Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARVELLE HOME HEALTH CARE

Practice address

2301 W Lincoln Ave Ste 124B
Anaheim, CA 92801-5135

Phone

(562) 417-5266

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wallace Kariuki Wahome

Title

Ceo

Phone

(562) 417-5266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891437133. Details of each certification follow.

• CCN 757900 Home health agency · Active · Details

Home health agency certification: CCN 757900

Legal name

MARVELLE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 11, 2025

Last certification

Mar 19, 2025

Organization structure

CorporationProprietary

Incorporated

Mar 18, 2022 in CA

Enrollment address

2301 W Lincoln Ave
Ste 124B
Anaheim, CA 92801-5135

Listed as

Marvelle Home Health CareCCN 757900 · All quality measures

Ownership

-

Certified

Apr 11, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 3

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

• Samir Azzam, M.D

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1891744538

  Home health agency

  Care Compare affiliation
• Alvin Chang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Tustin, CA
  • NPI 1396857181

  Home health agency

  Care Compare affiliation
• Salma Ahmed Farukhi, MD

  • Family Medicine Physician
  • Orange, CA
  • NPI 1982966883

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1891437133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W LINCOLN AVE STE 124B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W LINCOLN AVE STE 124B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015135",
            "telephone_number": "562-417-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELLE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "WAHOME",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "KARIUKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-417-5266"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Antoinette Martinez
• Yselda Alday Martinez
• Marissa Martini
• Hans Martison
• Evelyn Y Maruko, DMD, MS
• Neha Marwaha
• Mary Critchley Audiologist, Inc
• Mary Kate Rohan M.D., Inc
• Yara Masad, RBT
• Grant Roger Masaoka, M.D.

• Home Health Agency in Anaheim, CA
• Providers in Anaheim, 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 Apr 8, 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.