Organization Active NPI

In Home Healthcare, Inc.

  • Home Health Agency
  • Colton, CA
National Provider Identifier
1962643718
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000451 Issued in CA
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

Updated by the provider on Sep 26, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059247
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 30, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1038573In Home Healthcare Inc1280 E. Cooley Drive, Suite 7, Colton, CA 92324Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michal F Culata Individual 5% Or Greater Direct Ownership Interest Apr 1, 2014 49%
Corporate OfficerSecretary Apr 1, 2014 49%
Corporate DirectorPresident/Chief Financial Office Apr 1, 2014 49%
W-2 Managing EmployeeAdministrative Supervisor Apr 1, 2014 20%
Operational/Managerial ControlAdministrative Supervisor Apr 15, 2009 20%
Janadyl F Rodelas Individual W-2 Managing EmployeeDirector of Nursing Apr 1, 2014 20%
Operational/Managerial ControlDirector of Nursing Apr 1, 2014 20%
Milanen C Townes Individual 5% Or Greater Direct Ownership Interest Apr 1, 2014 51%
Corporate OfficerPresident/Chief Financial Office Apr 1, 2014 51%
Corporate DirectorPresident/Chief Financial Office Apr 1, 2014 51%
W-2 Managing EmployeeAdministrator Apr 1, 2014 60%
Operational/Managerial ControlAdministrator Apr 15, 2009 60%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

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

Verify at the official NPI Registry.