MISSION HOME HEALTH OF EL CENTRO, INC. (NPI# 1477092831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477092831 |
| Entity Type | Organization |
| Organization Name | MISSION HOME HEALTH OF EL CENTRO, INC. |
| Practice Address |
1503 N Imperial Ave El Centro CA 92243-6301 |
| Mailing Address |
2385 Northside Dr Ste 200 San Diego CA 92108-2727 |
| Practice Telephone | 7609963829 |
| Mailing Telephone | 6197572700 |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |
| Authorized Official Name | KERRY PAWL (PRESIDENT) |
| Authorized Official Telephone | 6187572700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1503 N IMPERIAL AVE |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689693962 | Clara Padron-spence | Family Medicine | 1503 N Imperial Ave, 204, El Centro, CA 92243-6301 | 2006-07-18 |
| 1467860734 | George Zamora | Nurse Practitioner | 1503 N Imperial Ave, Suite 203, El Centro, CA 92243-6301 | 2014-07-30 |
| 1316297294 | Anz Clinics Inc | Internal Medicine | 1503 N Imperial Ave, Suite 204, El Centro, CA 92243-6301 | 2012-09-18 |
| 1821301086 | Ameen Alshareef | Pediatrics | 1503 N Imperial Ave, Suite 204, El Centro, CA 92243-6301 | 2010-07-16 |
| 1093037608 | Peter Dimanno Lcsw Apc | Social Worker | 1503 N Imperial Ave, 205, El Centro, CA 92243-6301 | 2010-02-23 |
| 1407001134 | Roberto Abdelnur M.d., Inc. | Internal Medicine | 1503 N Imperial Ave, Suite 201, El Centro, CA 92243-6301 | 2008-11-21 |
| 1508010463 | Imperial Valley Optometric Corporation | Optometrist | 1503 N Imperial Ave, Suite 103, El Centro, CA 92243-6301 | 2008-11-05 |
| 1225227952 | Stephen E. Gocke M.d. Inc. | Obstetrics & Gynecology | 1503 N Imperial Ave, Suite 203, El Centro, CA 92243-6301 | 2007-10-18 |
| 1760682793 | Imperial Valley Podiatry Associates Inc | Podiatrist | 1503 N Imperial Ave, Suite 105, El Centro, CA 92243-6301 | 2007-07-18 |
| 1124157565 | Peter Dimanno | Social Worker | 1503 N Imperial Ave, Suite 205, El Centro, CA 92243-6301 | 2007-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
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| 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 |
|---|---|---|---|---|
| 1598110256 | My Family Homecare Inc | Home Health | 1484 S Imperial Ave, El Centro, CA 92243-4200 | 2016-05-02 |
| 1609296318 | Healthpeak Home Health, Inc. | Home Health | 1486 S Imperial Ave, El Centro, CA 92243-4200 | 2014-04-21 |
| 1902183023 | Jeffrey Dulay Chan | Home Health | 1450 S Imperial Ave, El Centro, CA 92243-4200 | 2011-11-03 |
| 1740242718 | Accentcare Home Health of California, Inc | Home Health | 2344 S 2nd St Ste A, El Centro, CA 92243-5606 | 2006-04-05 |
| 1013168046 | N Your Home Health Care | Home Health | 515 W Main St, Suite A, El Centro, CA 92243-2913 | 2008-10-08 |
| 1194755223 | Gentiva Certified Healthcare Corp. | Home Health | 1503 N Imperial Ave, Suite 104, El Centro, CA 92243-6301 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548225 | Natalie Deanne Moreno | Home Health | 42 W Campbell Ave Ste 101, Campbell, CA 95008-1042 | 2020-11-06 |
| 1174124994 | Soul Care Home Health | Home Health | 21243 Ventura Blvd Ste 235, Woodland Hills, CA 91364-2113 | 2020-11-06 |
| 1942801840 | Integrated Home Health Care Inc | Home Health | 6354 Van Nuys Blvd Ste 101, Van Nuys, CA 91401-2601 | 2020-11-06 |
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
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| 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.