Medicalone Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDICALONE HEALTH

Practice address

3012 Lone Tree Way Ste 200
Antioch, CA 94509-4933

Phone

(925) 436-3155

Fax

(925) 350-0156

NPI assigned

Aug 5, 2008

Organization subpart

Yes

Parent organization

MEDICALONE HEALTHAs reported in NPPES

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

Authorized official

Name

Victoria Nwokochah

Title

Ceo/Administrator

Phone

(925) 436-3155

Specialties & licenses 14

Addresses

Other names 2

• MedicalOne Health Hospice Other name
• MedicalOne Home Health Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559474

Legal name

MEDICALONE HEALTH

Doing business as

MEDICAL ONE HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 4, 2021

Last certification

Mar 4, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 13, 2016 in CA

Enrollment address

3012 Lone Tree Way
Ste 200
Antioch, CA 94509-4933
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medicalone Health

  • Community Based Hospice Care Agency
  • Antioch, CA
  • NPI 1790113421

  2466749973

  Same PAC ID

Listed as

Medicalone HealthCCN 559474

Ownership

Proprietary

Certified

Mar 4, 2021

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

Tax ID family

Medicalone Health5 organizations share this tax ID, including this one

Part of

Medicalone Health

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Medicalone Health

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Antioch, CA
  • NPI 1275070039
  NPD tax ID
• Medicalone Health

  • Durable Medical Equipment & Medical Supplies
  • Antioch, CA
  • NPI 1538531090
  NPD tax ID
• Medicalone Health

  • Community Based Hospice Care Agency
  • Antioch, CA
  • NPI 1790113421
  NPD tax ID
• Medicalone Home Care

  • In Home Supportive Care Agency
  • Antioch, CA
  • NPI 1689120339
  NPD tax ID

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.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medicalone Health

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Antioch, CA
  • NPI 1275070039
  NPPES parent name

Affiliated clinicians 1

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

• John Karan, M.D.

  • Neurology Physician
  • Antioch, CA
  • NPI 1720007545

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1932365293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 LONE TREE WAY STE 200",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094933",
            "telephone_number": "925-436-3155",
            "fax_number": "925-350-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 LONE TREE WAY STE 200",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094933",
            "telephone_number": "925-436-3155",
            "fax_number": "925-350-0156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Lone Tree Way Ste 203",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945095559",
            "country_code": "US",
            "telephone_number": "925-436-3155",
            "fax_number": "925-350-0156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICALONE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICALONE HEALTH",
        "enumeration_date": "2008-08-05",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "NWOKOCHAH",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "925-436-3155"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedicalOne Health Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MedicalOne Home Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MedicalOne Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medic Shuttle, LLC
• Medical One, LLC
• Medicalone Health
• Medicalone Health
• Medicalone Health
• Medicalone Home Care
• Medimove, LLC
• Pedro Eduardo Medina, PHARM.D.
• Khennedi Meeks
• Jatin Kirtikumar Mehta, RPH

• Home Health Agency in Antioch, CA
• Providers in Antioch, 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 Jan 31, 2023; 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.