New Wave Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW WAVE HOME HEALTH CARE INC

Practice address

6365 Van Nuys Blvd Ste 3
Van Nuys, CA 91401-2670

Phone

(818) 616-4352

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Creesy Amore

Title

Ceo

Phone

(818) 616-4352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757928

Legal name

NEW WAVE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 23, 2025

Last certification

Apr 10, 2025

Organization structure

CorporationProprietary

Incorporated

Nov 23, 2020 in CA

Enrollment address

6365 Van Nuys Blvd
Ste 3
Van Nuys, CA 91401-2670
HHA Branch

Listed as

New Wave Home Health Care, Inc.CCN 757928

Ownership

-

Certified

Apr 23, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1942899208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 VAN NUYS BLVD STE 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012670",
            "telephone_number": "818-616-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 VAN NUYS BLVD STE 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012670",
            "telephone_number": "818-616-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "AMORE",
        "authorized_official_first_name": "CREESY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-4352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 12, 2021; 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.