Active NPI
Allegiance Home Health, Inc.
- Home Health Agency
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001481
- Legal business name
- ALLEGIANCE HOME HEALTH, INC.
- Practice address
- 801 S Garfield Ave
Suite 238
Alhambra, CA 91801-4483 - Phone
- (626) 281-8600
- Fax
- (626) 281-8006
- NPI assigned
- Jul 27, 2006
- Last updated
- Sep 2, 2022
- 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
- Mr. Tiebing Guan
- Title
- Administrator
- Phone
- (626) 281-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001481 | CA | Primary |
Addresses
Primary practice location
801 S Garfield Ave
Suite 238
Alhambra, CA 91801-4483
Mailing address
801 S Garfield Ave
Suite 238
Alhambra, CA 91801-4483
Phone (626) 281-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08253F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021204000007 | CA | Part A Provider - Home Health Agency | 9537077797 | Practice locations: Alhambra, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922022532. Details of each certification follow.
Home health agency certification: CCN 058253
- Legal name
- ALLEGIANCE HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 13, 2003
- Last certification
- Jun 14, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 23, 2002 in CA
- Enrollment address
- 801 S Garfield Ave
Ste 238
Alhambra, CA 91801-4485
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Allegiance Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 13, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1015305 | Allegiance Home Health, Inc | Certificate of waiver | Aug 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
801 S Garfield Ave
Ste 238
Alhambra, CA 91801
Phone (626) 281-8600
2440 S Hacienda Blvd
Ste 113
Hacienda Heights, CA 91745
Phone (626) 961-5750
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tiebing Guan | 5% Or Greater Direct Ownership Interest | Oct 23, 2002 | 50% |
| Corporate Officer | Oct 23, 2002 | 50% | |
| Corporate Director | Oct 23, 2002 | 50% | |
| W-2 Managing Employee | Oct 23, 2002 | 50% | |
| Wen Tao W Mai | 5% Or Greater Direct Ownership Interest | Jun 25, 2013 | 50% |
| Corporate Officer | Jun 25, 2013 | 50% | |
| Corporate Director | Jun 25, 2013 | 50% | |
| W-2 Managing Employee | Jun 25, 2016 | 50% | |
| Xia Zhang | W-2 Managing Employee | Nov 1, 2012 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 17
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1619052628
Home health agency
-
- Physical Medicine & Rehabilitation Physician
- Alhambra, CA
- NPI 1164476511
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1922022532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S GARFIELD AVE",
"address_2": "SUITE 238",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014483",
"telephone_number": "626-281-8600",
"fax_number": "626-281-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S GARFIELD AVE",
"address_2": "SUITE 238",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014483",
"telephone_number": "626-281-8600",
"fax_number": "626-281-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGIANCE HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "GUAN",
"authorized_official_first_name": "TIEBING",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "626-281-8600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08253F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.