Healthnet Home Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000336 Issued in CA

Legal business name

HEALTHNET HOME CARE SERVICES, INC.

Practice address

2025 Glenoaks Blvd.,
Suite #203
Burbank, CA 91504-2809

Phone

(818) 846-8483

Fax

(818) 846-8486

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Norma Okimoto

Title

President/Ceo

Phone

(818) 846-8486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058461

Legal name

HEALTHNET HOME CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 20, 2008

Last certification

Apr 1, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2025 N Glenoaks Blvd
Ste 203
Burbank, CA 91504-2809

Listed as

Healthnet Home Care Services, IncCCN 058461

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Mar 20, 2008

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 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Syeda MF Ali, MD

  • Nephrology Physician
  • Pasadena, CA
  • NPI 1528051984

  W-2 Managing Employee

  CMS ownership
• Angie-Kolleen Sandico Tan, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pacoima, CA
  • NPI 1063961324

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 4

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

• Roberto Angel Beaton, M.D.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1669550885

  Home health agency

  Care Compare affiliation
• Tu Hong Duong, D.O.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1336228584

  Home health agency

  Care Compare affiliation
• Rolando Gutierrez, M.D.

  • Family Medicine Physician
  • Menifee, CA
  • NPI 1104841212

  Home health agency

  Care Compare affiliation
• Marilynn W Moore, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1306824545

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1891997466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 GLENOAKS BLVD.,",
            "address_2": "SUITE #203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042809",
            "telephone_number": "818-846-8483",
            "fax_number": "818-846-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GLENOAKS BLVD.,",
            "address_2": "SUITE #203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042809",
            "telephone_number": "818-846-8483",
            "fax_number": "818-846-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "OKIMOTO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-846-8486",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 4, 2013; 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.