NPIMap

Organization Active NPI

Onoria Health Care Provider Inc. Home Health and Hospice Services

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1972864981
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES
Practice address
5050 Palo Verde St Ste 119
Montclair, CA 91763-2333
Phone
(909) 626-2859
Fax
(909) 626-2572
NPI assigned
Jun 6, 2012
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mr. Allan Estudillo
Title
President
Phone
(909) 626-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

5050 Palo Verde St Ste 119
Montclair, CA 91763-2333

Mailing address

5050 Palo Verde St Ste 119
Montclair, CA 91763-2333
Phone (909) 626-2859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000556 CA Part A Provider - Home Health Agency 1557512290 Practice locations: Montclair, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972864981. Details of each certification follow.

Home health agency certification: CCN 059482

Legal name
ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 2013
Last certification
Sep 22, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
Jan 4, 2012 in CA
Enrollment address
5050 Palo Verde St
Ste 120
Montclair, CA 91763-2333
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Onoria Health Care Provider Inc Home Health and HoCCN 059482 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Mar 12, 2013
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
05D2050238Onoria Health Care Provider Inc5050 Palo Verde St Ste 119, Montclair, CA 91763Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Onoria Health Care Provider Inc Home Health and Hospice Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5050 Palo Verde St
Ste 119
Montclair, CA 91763
Phone (909) 626-2859

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
Divina B Morales Individual Corporate DirectorDirector of Patient Care Service Jun 1, 2012
W-2 Managing EmployeeDirector of Patient Care Service Oct 19, 2012
Lerma a Estudillo Individual Corporate OfficerAdministrator/Cfo/Board Member Jun 4, 2012
Corporate DirectorAdministrator/Cfo/Board Member Jun 4, 2012
W-2 Managing EmployeeAdministrator/Board Member Oct 19, 2012
Allan M Estudillo Individual 5% Or Greater Direct Ownership Interest Jan 4, 2012 100%
Corporate OfficerPresident/Board Member Jan 4, 2012 100%
Corporate DirectorPresident/Board Member Jan 4, 2012 100%
W-2 Managing EmployeePresident/Board Member Jan 4, 2012 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1972864981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 119",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632333",
            "telephone_number": "909-626-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 119",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632333",
            "telephone_number": "909-626-2859",
            "fax_number": "909-626-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ESTUDILLO",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-626-2859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.