Active NPI
Carechoices Home Health Services LLC
- Home Health Agency
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001378
- Legal business name
- CARECHOICES HOME HEALTH SERVICES LLC
- Practice address
- 1501 E Orangethorpe Ave
Suite 220
Fullerton, CA 92831-5205 - Phone
- (714) 515-7650
- Fax
- (714) 515-7651
- NPI assigned
- Jan 27, 2009
- Organization subpart
- Yes
- Parent organization
- CARECHOICES NETWORK, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward J Schrum
- Title
- Ceo
- Phone
- (714) 515-7650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001378 | CA | Primary |
Addresses
Primary practice location
1501 E Orangethorpe Ave
Suite 220
Fullerton, CA 92831-5205
Mailing address
1501 E Orangethorpe Ave
Suite 220
Fullerton, CA 92831-5205
Phone (714) 515-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090205000640 | CA | Part A Provider - Home Health Agency | 1456415413 | Practice locations: Fullerton, CA |
Home health agency certification: CCN 058126
- Legal name
- CARECHOICES HOME HEALTH SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 25, 2002
- Last certification
- Aug 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 20, 2021 in CA
- Enrollment address
- 1501 E Orangethorpe Ave
Ste 220
Fullerton, CA 92831-5205
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Carechoices Home Health Services, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 25, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Part of
- Alpha Health Care Network Inc
Locations
1501 E Orangethorpe Ave
Ste 220
Fullerton, CA 92831
Phone (714) 515-7650
402 W Arrow Hwy
Ste 1
San Dimas, CA 91773
Phone (909) 305-4600
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carechoices Network, Inc. | 5% Or Greater Direct Ownership Interest | Feb 8, 2013 | 100% |
| Edward J Schrum | 5% Or Greater Indirect Ownership Interest | Feb 8, 2013 | 20% |
| Corporate Officer | Jan 1, 2009 | 20% | |
| Corporate Director | Jan 1, 2009 | 20% | |
| W-2 Managing Employee | Jan 1, 2009 | 20% | |
| Tonya Reding | 5% Or Greater Indirect Ownership Interest | Feb 8, 2013 | 20% |
| Corporate Director | Feb 8, 2013 | 20% | |
| Operational/Managerial Control | Sep 10, 2012 | 10% | |
| Sima Karimian | Operational/Managerial Control | Oct 11, 2022 | 50% |
| Kim Heximer | 5% Or Greater Indirect Ownership Interest | Feb 8, 2013 | 20% |
| Corporate Director | Feb 8, 2013 | 20% | |
| Operational/Managerial Control | Oct 1, 2012 | 10% | |
| Sandy P Lee | 5% Or Greater Indirect Ownership Interest | Feb 8, 2013 | 38% |
| Corporate Director | Feb 8, 2013 | 38% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Irvine, CA
- NPI 1316168016
Carechoices Network, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Pulmonary Disease Physician
- San Juan Capistrano, CA
- NPI 1801129663
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1992943161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E ORANGETHORPE AVE",
"address_2": "SUITE 220",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928315205",
"telephone_number": "714-515-7650",
"fax_number": "714-515-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E ORANGETHORPE AVE",
"address_2": "SUITE 220",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928315205",
"telephone_number": "714-515-7650",
"fax_number": "714-515-7651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECHOICES HOME HEALTH SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARECHOICES NETWORK, INC.",
"enumeration_date": "2009-01-27",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "SCHRUM",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-515-7650"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- Care Choice Home Health, Inc.
- Care First Palliative and Hospice Care Inc
- Care More Hospice, Inc.
- Care R US Hospice and Palliative Care Inc.
- Care Therapy Solutions LLC
- Carepath Transport
- Carl a Hess MD a Medical Corporation
- Carl C. Chen, M.D., Inc.
- Anthony Steven Carletello
- Carlos del Campo MD, a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.