Clinicians Home Health Providers Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLINICIANS HOME HEALTH PROVIDERS INC

Practice address

237 W Bonita Ave Ste B
San Dimas, CA 91773-3048

Phone

(909) 542-9090

Fax

(909) 542-9152

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Michael L Folkes

Title

Administrator

Phone

(909) 542-9090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753148

Legal name

CLINICIANS HOME HEALTH PROVIDERS INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 4, 2022

Last certification

Mar 2, 2022

Organization structure

CorporationProprietary

Incorporated

Aug 29, 2019 in CA

Enrollment address

237 W Bonita Ave
Ste B
San Dimas, CA 91773-3048

Listed as

Clinicians Home Health Providers, Inc.CCN 753148

Ownership

-

Certified

Apr 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1952942153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W BONITA AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733048",
            "telephone_number": "909-542-9090",
            "fax_number": "909-542-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W BONITA AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733048",
            "telephone_number": "909-542-9090",
            "fax_number": "909-542-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICIANS HOME HEALTH PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "FOLKES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-542-9090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gabriela Cisneros
• Gabriel Claros
• Kimberly Nicole Clayton
• Alyssa Clements
• Chelsea Clifton, LMFT
• Brittini Cochran
• Elizabeth Cochrane
• Jennifer Lynn Codega, LMFT
• Cognet Rehab Solutions Inc
• Brittney Coleman

• Home Health Agency in San Dimas, CA
• Providers in San Dimas, 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 Sep 30, 2019; 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.