NPIMap

Organization Active NPI

Assist on Call Professional in-Home Care Services, Inc,

  • Home Health Agency
  • Pleasant Hill, CA
National Provider Identifier
1982949053
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC,
Practice address
2100 Monument Blvd
Suite 14
Pleasant Hill, CA 94523-3489
Phone
(925) 969-7634
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Ms. Terry Cruz
Title
President & Ceo
Phone
(925) 969-7634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2100 Monument Blvd
Suite 14
Pleasant Hill, CA 94523-3489

Mailing address

2100 Monument Blvd
Suite 14
Pleasant Hill, CA 94523-3489
Phone (925) 969-7634

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130723000044 CA Part A Provider - Home Health Agency 6002057775 Practice locations: Pleasant Hill, CA

Home health agency certification: CCN 059607

Legal name
ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2014
Last certification
Dec 10, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 18, 2012 in CA
Enrollment address
2100 Monument Blvd
Ste 8-a
Pleasant Hill, CA 94523-3489

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assist on Call Professional in-Home Care ServicesCCN 059607
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 21, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2100 Monument Blvd
Ste 14
Pleasant Hill, CA 94523
Phone (925) 969-7634

2100 Monument Blvd
Ste 8A
Pleasant Hill, CA 94523
Phone (925) 969-7634

Ownership & related parties

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.

NameRoleSinceShare
Maria Lourdes B Yambao Individual W-2 Managing EmployeeAdministrator & Director of Pati Jun 1, 2019 100%
Terry Cruz Individual 5% Or Greater Direct Ownership Interest Nov 9, 2012 33.34%
Corporate OfficerChief Executive Officer Nov 9, 2012 100%
Antonio L. Basa Individual 5% Or Greater Direct Ownership Interest Nov 9, 2012 33.33%
Corporate OfficerBoard Member Nov 9, 2012 100%
Corporate DirectorBoard Member Nov 9, 2012 100%
Haydee Reyes Individual 5% Or Greater Direct Ownership Interest Nov 9, 2012 33.33%
Corporate OfficerCorporate Secretary Nov 9, 2012 100%

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": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1982949053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD",
            "address_2": "SUITE 14",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233489",
            "telephone_number": "925-969-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD",
            "address_2": "SUITE 14",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233489",
            "telephone_number": "925-969-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST ON CALL PROFESSIONAL IN-HOME CARE SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "925-969-7634",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.