NPIMap

Organization Active NPI

Medical Home Specialists Inc

  • Home Health Agency
  • Redding, CA
National Provider Identifier
1982607065
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
230000178 Issued in CA
Legal business name
MEDICAL HOME SPECIALISTS INC
Practice address
2115 Churn Creek Rd
Redding, CA 96002-0732
Phone
(530) 226-5577
Fax
(530) 226-5585
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Mrs. Kathy McKillop, LVN
Title
President
Phone
(530) 226-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 230000178 CA Primary

Addresses

Primary practice location

2115 Churn Creek Rd
Redding, CA 96002-0732

Mailing address

2115 Churn Creek Rd
Redding, CA 96002-0732
Phone (530) 226-5577

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ33575ZMedicaidCA

Other names 1

  • Medical Home Care Professionals Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000709 CA Part A Provider - Home Health Agency 9234287616 Practice locations: Redding, CA

Home health agency certification: CCN 557107

Legal name
MEDICAL HOME SPECIALISTS INC
Doing business as
MEDICAL HOME CARE PROFESSIONALS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 1990
Last certification
Oct 30, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 13, 1987 in CA
Enrollment address
2115 Churn Creek Rd
Redding, CA 96002-0732

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medical Home Care ProfessionalsCCN 557107
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 12, 1990
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
05D2049510Medical Home Care Professionals, Inc2115 Churn Creek Road, Redding, CA 96002Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory

Locations

2115 Churn Creek Rd
Redding, CA 96002
Phone (530) 226-5577

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
Amy Mullin Individual Operational/Managerial Control Feb 11, 2020
Elaine M. Flores Individual W-2 Managing EmployeeAdministrator Jun 5, 2012
Operational/Managerial ControlAdministrator Apr 9, 2003
Kathleen a McKillop Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 1987 100%
Corporate OfficerCeo Jan 1, 1987 100%
Corporate DirectorCeo Jan 1, 1987 100%
W-2 Managing EmployeeCeo Jan 1, 1987 100%
Operational/Managerial ControlCeo Jan 1, 1987

Practitioners & affiliated clinicians

Affiliated clinicians 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1982607065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020732",
            "telephone_number": "530-226-5577",
            "fax_number": "530-226-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020732",
            "telephone_number": "530-226-5577",
            "fax_number": "530-226-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOME SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "MCKILLOP",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-226-5577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "230000178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ33575Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Home Care Professionals Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.