Individual provider Active NPI

Nathan Obiorah Ogbatue

  • Home Health Agency
  • Riverside, CA
National Provider Identifier
1942544812
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
11860 Magnolia Avenue, Suite J,
Riverside, CA 92503-4911
Phone
(951) 352-2300
Fax
(951) 352-2333
NPI assigned
Nov 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11860 Magnolia Avenue, Suite J,
Riverside, CA 92503-4911

Mailing address

11860 Magnolia Avenue, Suite J,
Riverside, CA 92503-4911
Phone (951) 352-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000174 CA Part A Provider - Home Health Agency 4688646227

Home health agency certification: CCN 059615

Legal name
NATHAN O. OGBATUE
Doing business as
CALIFORNIA HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 12, 2014
Last certification
Aug 11, 2020
Ownership / control type
Proprietary
Organization structure
Sole ProprietorProprietary
Enrollment address
11860 Magnolia Ave J
Riverside, CA 92503-4911

Care Compare: Home health agency

Medicare Care Compare
Listed as
California Home Health AgencyCCN 059615
Ownership
Proprietary
Certified
Jun 12, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan O Ogbatue Home Health Past Accepting new patients

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Nathan O Ogbatue Individual 5% Or Greater Direct Ownership Interest Jan 22, 2013 100%
W-2 Managing EmployeePresident/Ceo/Cfo Mar 25, 2004 100%
Operational/Managerial ControlPresident/Ceo/Cfo Mar 25, 2004 100%
Agnes C Ogbatue Individual W-2 Managing EmployeeDPCS/Adm Mar 25, 2004 50%
Operational/Managerial ControlDPCS/Adm Mar 25, 2004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1942544812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 MAGNOLIA AVENUE, SUITE J,",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034911",
            "telephone_number": "951-352-2300",
            "fax_number": "951-352-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 MAGNOLIA AVENUE, SUITE J,",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034911",
            "telephone_number": "951-352-2300",
            "fax_number": "951-352-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBATUE",
        "first_name": "NATHAN",
        "middle_name": "OBIORAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.