Highmark Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

058261 Issued in CA

Legal business name

HIGHMARK HOME HEALTH, INC

Practice address

2707 E Valley Blvd Ste 209
West Covina, CA 91792-3197

Phone

(626) 810-1957

Fax

(626) 810-4805

NPI assigned

Mar 22, 2006

Last updated

Jul 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Cristina Chua Sy

Title

Ceo/President

Phone

(626) 810-1957

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982663407. Details of each certification follow.

• CCN 058261 Home health agency · Active · Details

Home health agency certification: CCN 058261

Legal name

HIGHMARK HOME HEALTH, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 9, 2004

Last certification

Aug 25, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 20, 2002 in CA

Enrollment address

2707 E Valley Blvd
Ste 209
West Covina, CA 91792-3197

Listed as

Highmark Home Health, IncCCN 058261 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jun 9, 2004

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 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

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

• Ahmed Ie Badr, MD

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1508818253

  Home health agency

  Care Compare affiliation
• Neha Bhansali, M.D

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1700923893

  Home health agency

  Care Compare affiliation
• Jesse Joseph Licuanan, M.D.

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1396795514

  Home health agency

  Care Compare affiliation
• Rafaelito Sollisa Victoria, MD

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1548363989

  Home health agency

  Care Compare affiliation
• Xanthe Zafra Victoria, MD

  • Family Medicine Physician
  • Bellflower, CA
  • NPI 1447270418

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1982663407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 209",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923197",
            "telephone_number": "626-810-1957",
            "fax_number": "626-810-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 209",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923197",
            "telephone_number": "626-810-1957",
            "fax_number": "626-810-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHMARK HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "MARIA CRISTINA",
        "authorized_official_middle_name": "CHUA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "626-810-1957",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "058261",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CA",
            "license": "HP3158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08261F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Himath Hettiarachchige
• Randall Roy Hettich, PH.D., L.M.F.T.
• Aaronisha Hicks
• Emily Hidalgo
• Jessica Hidalgo
• Cynthia Lee Hill, M.S., CCC-SLP
• David Joseph Hill, O.D.
• Chanel Hin
• Drake Hinojosa
• Federico Hinojosa, PA.

• Home Health Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.