Silver Age Home Health Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000242 Issued in CA

Legal business name

SILVER AGE HOME HEALTH CARE AGENCY, INC.

Practice address

520 S la Fayette Park PL Ste 100-B
Los Angeles, CA 90057-5402

Phone

(213) 385-5788

Fax

(213) 385-5850

NPI assigned

Jan 26, 2007

Reactivated

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Angelito Domingo Trinidad

Title

Ceo/President

Phone

(213) 385-5788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058360

Legal name

SILVER AGE HOME HEALTH CARE AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 5, 2007

Last certification

Jan 11, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 23, 2003 in CA

Enrollment address

520 S la Fayette Park PL
Ste 100B
Los Angeles, CA 90057-5402

Listed as

Silver Age Home Health Care Agency IncCCN 058360

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Mar 5, 2007

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

Locations

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.

Practitioners 1

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

• Relyndo Manalo Salcedo, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Fontana, CA
  • NPI 1649580630
  NPD

Affiliated clinicians 4

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

• Amir Hossein Bahadori, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1518992585

  Home health agency

  Care Compare affiliation
• Cindy Huang, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Angeles, CA
  • NPI 1356570063

  Home health agency

  Care Compare affiliation
• Randall Whitaker Maxey, MD PHD

  • Nephrology Physician
  • Inglewood, CA
  • NPI 1700944279

  Home health agency

  Care Compare affiliation
• Pagiel Shechter, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1093767337

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1962558239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S LA FAYETTE PARK PL STE 100-B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575402",
            "telephone_number": "213-385-5788",
            "fax_number": "213-385-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S LA FAYETTE PARK PL STE 100-B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575402",
            "telephone_number": "213-385-5788",
            "fax_number": "213-385-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER AGE HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-05-22",
        "deactivation_date": "2023-05-22",
        "reactivation_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "213-385-5788"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Silva
• Sonjia Julieann Silva
• Vasthi V. Silva, M.D.
• Wendy Ann Silva
• Sophia Silvas
• Silver Brooks Enterprises Inc
• Silver DME Inc
• Silver Hills Home Care Inc.
• Silver Lake Adult Day Care Inc.
• Silver Lake Medical Center

• All providers in Los Angeles, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.