NPIMap

Organization Active NPI

Asian Network Pacific Home Care, Inc

Doing business as Pacific Home Care

  • Home Health Agency
  • Oakland, CA
National Provider Identifier
1932285335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASIAN NETWORK PACIFIC HOME CARE, INC
Doing business as
Pacific Home Care
Practice address
212 9TH St Ste 205
Oakland, CA 94607-4428
Phone
(510) 268-1118
Fax
(510) 268-9905
NPI assigned
Oct 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ivy Yip Kwong, PT,DPT,MPANPI 1063509040
Title
Financial Officer
Phone
(510) 268-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

212 9TH St Ste 205
Oakland, CA 94607-4428

Mailing address

212 9TH St Ste 205
Oakland, CA 94607-4428
Phone (510) 268-1118

Other identifiers 1

IdentifierTypeStateIssuer
HHA57747GMedicaidCA

Other names 1

  • Pacific Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050526001063 CA Part A Provider - Home Health Agency 9537101795 Practice locations: Oakland, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932285335. Details of each certification follow.

Home health agency certification: CCN 557747

Legal name
ASIAN NETWORK PACIFIC HOME CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 2, 1996
Last certification
May 11, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
212 9TH St
Ste 205
Oakland, CA 94607-4478

Care Compare: Home health agency

Medicare Care Compare
Listed as
Asian Network Pacific Home Care, IncCCN 557747 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 2, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0914349Asian Network Pacific Home Care212 9TH Street Suite 205, Oakland, CA 94607Certificate of waiverApr 25, 2028

National Provider Directory

National Provider Directory

Locations

212 9th St
Ste 205
Oakland, CA 94607
Phone (510) 268-1118

821 Harrison St
Oakland, CA 94607
Phone (510) 268-0222

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.

NameRoleSinceShare
Ivy Y Kwong Individual 5% Or Greater Direct Ownership Interest May 1, 2002 37.5%
Corporate OfficerCfo May 1, 2002
W-2 Managing EmployeeCfo May 1, 2002
Tracy Y Wei Individual 5% Or Greater Direct Ownership Interest May 1, 2002 25%
Corporate OfficerSecretary May 1, 2002
W-2 Managing EmployeeDirector of Clinical Services Jul 22, 2000
Nancy Lon-Fong Chang Individual 5% Or Greater Direct Ownership Interest May 1, 2002 37.5%
Corporate OfficerPresident May 1, 2002
W-2 Managing EmployeeCeo May 1, 2002

Practitioners & affiliated clinicians

Practitioners 3

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 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932285335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 9TH ST STE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074428",
            "telephone_number": "510-268-1118",
            "fax_number": "510-268-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 9TH ST STE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074428",
            "telephone_number": "510-268-1118",
            "fax_number": "510-268-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN NETWORK PACIFIC HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "YIP",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "510-268-1118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT,DPT,MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57747G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.