Organization Active NPI

Kevin & Luz Enterprises Inc

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1992350185
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEVIN & LUZ ENTERPRISES INC
Doing business as
Epic Homehealth Services
Practice address
1600 Sacramento Inn Way Ste 216
Sacramento, CA 95815-3461
Phone
(855) 916-7880
Fax
(833) 589-5386
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Mrs. Luzviminda Selga Koutney, BSN, RNNPI 1992560569
Title
Cfo
Phone
(916) 831-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1600 Sacramento Inn Way Ste 216
Sacramento, CA 95815-3461

Mailing address

1600 Sacramento Inn Way Ste 216
Sacramento, CA 95815-3461
Phone (855) 916-7880

Other names 1

  • Epic Homehealth Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210819003398 CA Part A Provider - Home Health Agency 0840695466 Practice locations: Sacramento, CA

Home health agency certification: CCN 559765

Legal name
KEVIN & LUZ ENTERPRISES INC
Doing business as
EPIC HOMEHEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 2022
Last certification
Apr 6, 2022
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 14, 2020 in CA
Enrollment address
1600 Sacramento Inn Way
Ste 216
Sacramento, CA 95815-3461
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Epic Homehealth ServicesCCN 559765
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 6, 2022
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
05D2190103Epic Homehealth Services1600 Sacramento Inn Way Ste 216, Sacramento, CA 95815Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

1600 Sacramento Inn Way
Ste 216
Sacramento, CA 95815
Phone (855) 916-7880

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kevin Koutney Individual 5% Or Greater Direct Ownership Interest Feb 14, 2020 50%
Corporate OfficerVice President Ceo Feb 14, 2020
W-2 Managing EmployeeVice President Ceo Feb 14, 2020
Luzviminda Selga Koutney Individual 5% Or Greater Direct Ownership Interest Feb 14, 2020 50%
Corporate OfficerPresident Cfo Administrator Alt Feb 14, 2020
W-2 Managing EmployeePresident Cfo Administrator Alt Feb 14, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1992350185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SACRAMENTO INN WAY STE 216",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153461",
            "telephone_number": "855-916-7880",
            "fax_number": "833-589-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SACRAMENTO INN WAY STE 216",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153461",
            "telephone_number": "855-916-7880",
            "fax_number": "833-589-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN & LUZ ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "KOUTNEY",
        "authorized_official_first_name": "LUZVIMINDA",
        "authorized_official_middle_name": "SELGA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-831-0404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Homehealth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.