Organization Active NPI

Carechoices Home Health Services LLC

  • Home Health Agency
  • Fullerton, CA
National Provider Identifier
1992943161
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001378 Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 058126
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 25, 2002
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
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.

NameRoleSinceShare
Carechoices Network, Inc. Organization, Irvine, CA Corporation 5% Or Greater Direct Ownership Interest Feb 8, 2013 100%
Edward J Schrum Individual 5% Or Greater Indirect Ownership InterestCeo Feb 8, 2013 20%
Corporate OfficerPresident/Ceo Jan 1, 2009 20%
Corporate DirectorPresident/Ceo Jan 1, 2009 20%
W-2 Managing EmployeePresident/Ceo Jan 1, 2009 20%
Tonya Reding Individual 5% Or Greater Indirect Ownership Interest Feb 8, 2013 20%
Corporate Director Feb 8, 2013 20%
Operational/Managerial ControlVP Clinical Services Sep 10, 2012 10%
Sima Karimian Individual Operational/Managerial ControlAdministrator Oct 11, 2022 50%
Kim Heximer Individual 5% Or Greater Indirect Ownership Interest Feb 8, 2013 20%
Corporate Director Feb 8, 2013 20%
Operational/Managerial ControlVP Operations Oct 1, 2012 10%
Sandy P Lee Individual 5% Or Greater Indirect Ownership Interest Feb 8, 2013 38%
Corporate DirectorBoard Member Feb 8, 2013 38%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Sources for this page

Verify at the official NPI Registry.