Active NPI
Assisted Home Recovery, Inc.
- Home Health Agency
- Covina, CA
National Provider Identifier
1992752273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001056
- Legal business name
- ASSISTED HOME RECOVERY, INC.
- Practice address
- 1126 N Grand Ave Ste 201
Covina, CA 91724-1549 - Phone
- (626) 974-9720
- Fax
- (626) 915-6457
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Aulestia
- Title
- Adminsitrator
- Phone
- (805) 371-9980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001056 | CA | Primary |
Addresses
Primary practice location
1126 N Grand Ave Ste 201
Covina, CA 91724-1549
Mailing address
72 Moody Court
Suite 100
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA55784G | Medicaid | CA |
Other names 1
- Assisted Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2018 | Change of Ownership | Assisted Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1992752273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 MOODY COURT",
"address_2": "SUITE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913606067",
"telephone_number": "805-371-9988",
"fax_number": "805-371-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N GRAND AVE STE 201",
"city": "COVINA",
"state": "CA",
"postal_code": "917241549",
"telephone_number": "626-974-9720",
"fax_number": "626-915-6457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED HOME RECOVERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "AULESTIA",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "ADMINSITRATOR",
"authorized_official_telephone_number": "805-371-9980"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA55784G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Assisted Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.