Active NPI
In Home Healthcare, Inc.
- Home Health Agency
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000451
- Legal business name
- IN HOME HEALTHCARE, INC.
- Practice address
- 1007 E Cooley Dr Ste 118
Colton, CA 92324-3901 - Phone
- (909) 824-1112
- Fax
- (909) 824-1119
- NPI assigned
- Mar 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Milanen C Townes
- Title
- Administrator
- Phone
- (909) 824-4954
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000451 | CA | Primary |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
1007 E Cooley Dr Ste 118
Colton, CA 92324-3901
Mailing address
4701 Brooks St
Montclair, CA 91763-4725
Phone (909) 399-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050207000912 | CA | Part A Provider - Home Health Agency | 0749231710 | Practice locations: Colton, CA |
Home health agency certification: CCN 059247
- Legal name
- IN HOME HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 30, 2009
- Last certification
- Sep 13, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 3, 2005 in CA
- Enrollment address
- 1280 E Cooley Dr
Ste 7
Colton, CA 92324-3919
Care Compare: Home health agency
Medicare Care Compare- Listed as
- In Home Healthcare, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 30, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1038573 | In Home Healthcare Inc | Certificate of waiver | Apr 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
1007 E Cooley Dr
Ste 118
Colton, CA 92324
Phone (425) 343-6072
1280 E Cooley Dr
Ste 7
Colton, CA 92324
Phone (909) 824-1112
4701 Brooks St
Montclair, CA 91763
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michal F Culata | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 49% |
| Corporate Officer | Apr 1, 2014 | 49% | |
| Corporate Director | Apr 1, 2014 | 49% | |
| W-2 Managing Employee | Apr 1, 2014 | 20% | |
| Operational/Managerial Control | Apr 15, 2009 | 20% | |
| Janadyl F Rodelas | W-2 Managing Employee | Apr 1, 2014 | 20% |
| Operational/Managerial Control | Apr 1, 2014 | 20% | |
| Milanen C Townes | 5% Or Greater Direct Ownership Interest | Apr 1, 2014 | 51% |
| Corporate Officer | Apr 1, 2014 | 51% | |
| Corporate Director | Apr 1, 2014 | 51% | |
| W-2 Managing Employee | Apr 1, 2014 | 60% | |
| Operational/Managerial Control | Apr 15, 2009 | 60% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Riverside, CA
- NPI 1952327355
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1962643718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 BROOKS ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917634725",
"telephone_number": "909-399-0088",
"fax_number": "909-399-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 E COOLEY DR STE 118",
"city": "COLTON",
"state": "CA",
"postal_code": "923243901",
"telephone_number": "909-824-1112",
"fax_number": "909-824-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-08",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "TOWNES",
"authorized_official_first_name": "MILANEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-824-4954",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "550000451",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.