Active NPI
United Integrity Home Health, Inc.
- Home Health Agency
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000337
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 13, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Justin C Mendoza | Corporate Officer | Dec 13, 2006 | 20% |
| Corporate Director | Dec 13, 2006 | 20% | |
| W-2 Managing Employee | Dec 13, 2006 | 20% | |
| Operational/Managerial Control | Dec 13, 2006 | 20% | |
| Macedonia Mendoza | 5% Or Greater Direct Ownership Interest | Jan 31, 2024 | 100% |
| Corporate Officer | Jan 31, 2024 | 100% | |
| Corporate Director | Jan 31, 2024 | 100% | |
| W-2 Managing Employee | Jan 31, 2024 | 100% | |
| Judd C Mendoza | Corporate Director | Dec 29, 2008 | 20% |
| W-2 Managing Employee | Jan 7, 2004 | 20% | |
| Operational/Managerial Control | Jan 7, 2004 | 20% | |
| Anto Maliakkal | Corporate Officer | Jul 26, 2017 | 20% |
| Corporate Director | Jul 26, 2017 | ||
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Burr Ridge, IL
- NPI 1558376368
Corporate Director, Corporate Officer, Operational/Managerial Control
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.
-
- Family Medicine Physician
- Orange, CA
- NPI 1306867460
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Long Beach, CA
- NPI 1629258892
Home health agency
-
- Physical Medicine & Rehabilitation Physician
- Irvine, CA
- NPI 1477932259
Home health agency
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
- Unidos Recovery Home
- Unified Hospice Care, LLC
- Unique Quality Inc. (Unique Quality Care)
- United Community Acupuncture, Inc.
- United Dental Corporation
- United Medical Imaging Healthcare, Inc. (United Medical Imaging of Garden Grove)
- United Medical Radiology Network (United Medical Radiology Network of Garden Grove)
- Universal Care
- Universal Care
- Universal Services, LLC (Universal Medical Management Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.