Organization Active NPI

United Integrity Home Health, Inc.

  • Home Health Agency
  • Garden Grove, CA
National Provider Identifier
1912029943
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000337 Issued in CA
Legal business name
UNITED INTEGRITY HOME HEALTH, INC.
Practice address
12900A Garden Grove Blvd
Suite 116
Garden Grove, CA 92843-2023
Phone
(714) 539-5249
Fax
(714) 539-5236
NPI assigned
Apr 3, 2007
Last updated
Oct 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Macy Mendoza
Title
DPCS
Phone
(714) 539-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000337 CA Primary

Addresses

Primary practice location

12900A Garden Grove Blvd
Suite 116
Garden Grove, CA 92843-2023

Mailing address

12900A Garden Grove Blvd
Suite 116
Garden Grove, CA 92843-2023
Phone (714) 539-5249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723001150 CA Part A Provider - Home Health Agency 2365422847 Practice locations: Garden Grove, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912029943. Details of each certification follow.

Home health agency certification: CCN 058367

Legal name
UNITED INTEGRITY HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 13, 2007
Last certification
Nov 9, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 7, 2004 in CA
Enrollment address
12900A Garden Grove Blvd
Ste 116
Garden Grove, CA 92843-2016

Care Compare: Home health agency

Medicare Care Compare
Listed as
United Integrity Home Health IncCCN 058367 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Apr 13, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

12900A Garden Grove Blvd
Ste 116
Garden Grove, CA 92843
Phone (714) 539-5249

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
Justin C Mendoza Individual Corporate OfficerAssistant Administrator Dec 13, 2006 20%
Corporate DirectorBoard Member Dec 13, 2006 20%
W-2 Managing EmployeeAssistant Administrator Dec 13, 2006 20%
Operational/Managerial ControlAssistant Administrator Dec 13, 2006 20%
Macedonia Mendoza Individual 5% Or Greater Direct Ownership Interest Jan 31, 2024 100%
Corporate OfficerCeo,Secretary,Administrator,Dire Jan 31, 2024 100%
Corporate DirectorCeo,Secretary,Administrator,Dire Jan 31, 2024 100%
W-2 Managing EmployeeCeo,Secretary,Administrator,Dire Jan 31, 2024 100%
Judd C Mendoza Individual Corporate Director Dec 29, 2008 20%
W-2 Managing EmployeeBoard Member Jan 7, 2004 20%
Operational/Managerial Control Jan 7, 2004 20%
Anto Maliakkal Individual Corporate OfficerMedical Director Jul 26, 2017 20%
Corporate DirectorBoard Member Jul 26, 2017
Operational/Managerial ControlMedical Director Jul 26, 2017 20%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1912029943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900A GARDEN GROVE BLVD",
            "address_2": "SUITE 116",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432023",
            "telephone_number": "714-539-5249",
            "fax_number": "714-539-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900A GARDEN GROVE BLVD",
            "address_2": "SUITE 116",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432023",
            "telephone_number": "714-539-5249",
            "fax_number": "714-539-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED INTEGRITY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "DPCS",
        "authorized_official_telephone_number": "714-539-5249"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.