NPIMap

Organization Active NPI

VN Home Health Care

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1891747978
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
070000706 Issued in CA
Legal business name
VN HOME HEALTH CARE
Practice address
2528 Qume Dr
Suite 7
San Jose, CA 95131-1836
Phone
(408) 998-0550
Fax
(408) 998-8984
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Mr. Elias L Heredia Jr.
Title
Human Resources
Phone
(408) 998-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 070000706 CA Primary

Addresses

Primary practice location

2528 Qume Dr
Suite 7
San Jose, CA 95131-1836

Mailing address

2528 Qume Dr
Suite 7
San Jose, CA 95131-1836
Phone (408) 998-0550

Other identifiers 1

IdentifierTypeStateIssuer
HHA08278FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930001224 CA Part A Provider - Home Health Agency 1052380466 Practice locations: San Jose, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891747978. Details of each certification follow.

Home health agency certification: CCN 058278

Legal name
VN HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 29, 2004
Last certification
Feb 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 28, 2003 in CA
Enrollment address
2528 Qume Dr
Ste 7
San Jose, CA 95131-1836

Care Compare: Home health agency

Medicare Care Compare
Listed as
VN Home Health CareCCN 058278 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 29, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1032198VN Home Health Care2528 Qume Dr Ste 7, San Jose, CA 95131Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

696 E Santa Clara St
Ste 105
San Jose, CA 95112
Phone (408) 998-0550

2528 Qume Dr
Ste 7
San Jose, CA 95131
Phone (408) 998-0550

398 E Santa Clara St
Ste A
San Jose, CA 95113
Phone (408) 998-0550

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Phung Nguyen Individual Corporate Director Oct 21, 2004
W-2 Managing Employee May 28, 2003
Live Spring LLC Organization, San Jose, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Nov 21, 2006 45%
Suzy Liu Individual Corporate Director Sep 28, 2005
Echo Canyon Enterprise LLC Organization, San Jose, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Aug 1, 2005 55%

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1891747978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 QUME DR",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311836",
            "telephone_number": "408-998-0550",
            "fax_number": "408-998-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 QUME DR",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311836",
            "telephone_number": "408-998-0550",
            "fax_number": "408-998-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VN HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "HEREDIA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "408-998-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "070000706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08278F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.