EGB HOLDINGS (NPI# 1023305331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023305331 |
| Entity Type | Organization |
| Organization Name | EGB HOLDINGS |
| Other Organization Name | ADVANTAGE HEALTH SYSTEMS |
| Practice Address |
151 Kalmus Dr Ste D101 Costa Mesa CA 92626-5959 |
| Mailing Address |
Po Box 261485 San Diego CA 92196-1485 |
| Practice Telephone | 7145575506 |
| Practice Fax Number | 7145575507 |
| Mailing Telephone | 7145575506 |
| Mailing Fax Number | 7145575507 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | EMIL BUNDANG (CEO) |
| Authorized Official Telephone | 7145575506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDPH LICENSE | 550001885 | 01 |
| Other Name | Type Code |
|---|---|
| Advantage Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558658864 | Egb Holdings | Home Health | 4100 Latham Street, Suite D, Riverside, CA 92501-1733 | 2011-07-07 |
| 1801345731 | Egb Holdings | Hospice Care, Community Based | 4100 Latham Street, Suite E, Riverside, CA 92501-1733 | 2016-10-04 |
| 1871942029 | Egb Holdings | Hospice Care, Community Based | 151 Kalmus Dr, Suite D-104, Costa Mesa, CA 92626-5988 | 2016-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | EGB HOLDINGS, LLC | 3 Nathan Pratt Dr., Concord, MA 01742 |
| New York State Corporations | EGB HOLDINGS, LLC | 595 Stewart Avenue, Suite 710, Garden City, Ny 11530 |
| Street Address |
151 KALMUS DR STE D101 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528504958 | Catalina Health Care | Home Health | 183 Fairwinds, Costa Mesa, CA 92626-6586 | 2017-01-09 |
| 1861829269 | Premiere Home Health Care Inc | Home Health | 711 W 17th St Ste C2, Costa Mesa, CA 92627-4343 | 2013-09-30 |
| 1730469271 | Home Care Spectrum LLC | Home Health | 2973 Harbor Blvd, Suite 621, Costa Mesa, CA 92626-3912 | 2011-08-27 |
| 1538347646 | St. Joseph Health System Home Care Services | Home Health | 3187 Red Hill Ave., Suite 200, Costa Mesa, CA 92626 | 2008-01-31 |
| 1023218369 | Rescare Home Care | Home Health | 3187 Red Hill Ave, Suite 115, Costa Mesa, CA 92626-3410 | 2007-07-24 |
| 1275736845 | Harmony Home Care, Inc. | Home Health | 575 Anton Blvd, Suite 300, Costa Mesa, CA 92626-7169 | 2007-06-08 |
| 1700987971 | Kindness-care Home Health | Home Health | 3176 Pullman St, Suite 102, Costa Mesa, CA 92626-3317 | 2006-09-26 |
| 1396103354 | St. Joseph Health System Home Care Services | Home Health | 3187 Red Hill Ave, Ste 200, Costa Mesa, CA 92626 | 2016-02-05 |
| 1093941932 | Competent Caregiving | Home Health | 2900 Bristol St, Suite D108, Costa Mesa, CA 92626-5981 | 2009-06-05 |
| 1982856811 | Newport Beach Senior Care, Inc. | Home Health | 3151 Airway Ave, Suite K108, Costa Mesa, CA 92626-4607 | 2008-10-22 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on EGB HOLDINGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.