Athome Healthcare

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

ATHOME HEALTHCARE

Practice address

18002 Irvine Blvd Ste 208
Tustin, CA 92780-3366

Phone

(626) 589-1349

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Madolor King, MADOLOR KING, RN,WOCNPI 1013533116

Title

President

Phone

(626) 589-1349

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559721

Legal name

ATHOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 8, 2021

Last certification

Dec 8, 2021

Organization structure

CorporationProprietary

Incorporated

Jun 16, 2020 in CA

Enrollment address

18002 Irvine Blvd
Ste 208
Tustin, CA 92780-3366

Listed as

Athome HealthcareCCN 559721 · All quality measures

Ownership

-

Certified

Dec 8, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madolor King, RN

  • Enterostomal Therapy Registered Nurse
  • Tustin, CA
  • NPI 1013533116
  NPD Authorized official

Affiliated clinicians 1

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

• Lorelei C Achor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
  • NPI 1417999244

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1952927055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD STE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803366",
            "telephone_number": "626-589-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD STE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803366",
            "telephone_number": "626-589-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MADOLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-589-1349",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MADOLOR KING, RN,WOC"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assist Medical Services
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• Thomas L Atlas, MD
• Lydia Oh Au, L.AC
• Chris Aufdemberg, DDS
• Thomas William Aufdemberg, D.D.S.
• Jason William Austin, MFT

• Home Health Registered Nurse in Tustin, CA
• Providers in Tustin, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.