Nursing & Rehab at Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

220000467 Issued in CA

Legal business name

NURSING & REHAB AT HOME

Practice address

1710 S Amphlett Blvd Ste 110
San Mateo, CA 94402-2704

Phone

(650) 286-4272

Fax

(650) 249-4238

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Lorna S Beukema, PTNPI 1710483631

Title

Owner/Ceo/Administrator

Phone

(650) 551-7522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rehab At Home, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058106

Legal name

NURSING & REHAB AT HOME

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 5, 2002

Last certification

Oct 18, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 2, 2004 in CA

Enrollment address

1710 S Amphlett Blvd
Ste 110
San Mateo, CA 94402-2704

Listed as

Nursing & Rehab at HomeCCN 058106

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Mar 5, 2002

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 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorna S Beukema, PT

  • Physical Therapist
  • San Mateo, CA
  • NPI 1710483631
  NPD Authorized official
• Caroline Donor Hintz, OTR/L

  • Occupational Therapist
  • Palo Alto, CA
  • NPI 1366770679
  NPD

Affiliated clinicians 5

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

• John Boggs, M.D.

  • Infectious Disease Physician
  • Palo Alto, CA
  • NPI 1982719480

  Home health agency

  Care Compare affiliation
• James Irvin Huddleston III, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Stanford, CA
  • NPI 1619037496

  Home health agency

  Care Compare affiliation
• Courtney Elizabeth Jaffe, NP

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1407080419

  Home health agency

  Care Compare affiliation
• Jason Scott Lipof, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Stanford, CA
  • NPI 1114312519

  Home health agency

  Care Compare affiliation
• Donna Marie Tambot Veridiano, M.D.

  • Family Medicine Physician
  • Redwood City, CA
  • NPI 1821524711

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912909177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022704",
            "telephone_number": "650-286-4272",
            "fax_number": "650-249-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022704",
            "telephone_number": "650-286-4272",
            "fax_number": "650-249-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 S Amphlett Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944022507",
            "country_code": "US",
            "telephone_number": "650-286-4272",
            "fax_number": "650-249-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURSING & REHAB AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "BEUKEMA",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "650-551-7522",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "220000467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7397440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab At Home, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rehab At Home, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Scherwin John Nubla
• Sarah Nuega
• Albert Yap Nuevo, RN
• Julia Nunan-Saah, PHD
• John Anthony Nungaray
• Nurturly Kids Physical Therapy, PC
• Linda Nwoga
• Angela Chinaza Nwokike
• Joel O'Beso, PSY.D.
• Corinne O'Brien

• Home Health Agency in San Mateo, CA
• Providers in San Mateo, 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 21, 2022; 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.