Capital Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001281 Issued in CA

Legal business name

CAPITAL HOME HEALTH AGENCY, INC.

Practice address

2818 La Cienega Ave
Suite 205
Los Angeles, CA 90034-2618

Phone

(310) 253-5384

Fax

(310) 253-9191

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linden Lellis Logan, R.N.

Title

Administrator

Phone

(310) 253-5384

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058042

Legal name

CAPITAL HOME HEALTH AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 19, 1999

Last certification

Mar 21, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationProprietary

Incorporated

Aug 25, 1998 in CA

Enrollment address

5751 W Adams Blvd
Los Angeles, CA 90016-2440
HHA Branch

Listed as

Capital Home Health Agency IncCCN 058042

Overall star rating

1.5 of 5

Ownership

Non-Profit

Certified

Feb 19, 1999

Medicare certification status

ActiveFrom the Provider of Services file

Services

Medical social, 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 4

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 1

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

• Mahesh V Bhuta, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1649305475

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1902007255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 LA CIENEGA AVE",
            "address_2": "SUITE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342618",
            "telephone_number": "310-253-5384",
            "fax_number": "310-025-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 LA CIENEGA AVE",
            "address_2": "SUITE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342618",
            "telephone_number": "310-253-5384",
            "fax_number": "310-253-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "LINDEN",
        "authorized_official_middle_name": "LELLIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-253-5384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08042F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Suzanne Charleson Capili, MS
• Melissa Ila Capin
• Isagani Capina, N.P.
• Nina Marie Capiro
• Jocelyn Capistrano, DDS
• Capital Hospitalist Medical Group Inc
• Capital Medical Group
• Edgardo M Capitulo, MD
• Valerie Capizzo Freyre
• Julie Caplan Nuzzalo, PSY.D.

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 30, 2007; 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.