EGB HOLDINGS (NPI# 1558658864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558658864 |
| Entity Type | Organization |
| Organization Name | EGB HOLDINGS |
| Other Organization Name | ADVANTAGE HEALTH SYSTEMS |
| Practice Address |
4100 Latham Street Suite D Riverside CA 92501-1733 |
| Mailing Address |
Po Box 261485 San Diego CA 92196-1485 |
| Practice Telephone | 9516860003 |
| Practice Fax Number | 9516860005 |
| Mailing Telephone | 9516860003 |
| Mailing Fax Number | 9516860005 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | EMIL BUNDANG (CEO) |
| Authorized Official Telephone | 9516860003 |
| 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 | 550001894 | 01 |
| Other Name | Type Code |
|---|---|
| Advantage Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023305331 | Egb Holdings | Home Health | 151 Kalmus Dr Ste D101, Costa Mesa, CA 92626-5959 | 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 |
4100 LATHAM STREET SUITE D |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801345731 | Egb Holdings | Hospice Care, Community Based | 4100 Latham Street, Suite E, Riverside, CA 92501-1733 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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 |
|---|---|---|---|---|
| 1467961235 | Coulter Care LLC | Home Health | 5257 Quapaw Way, Riverside, CA 92509-6897 | 2017-09-25 |
| 1790234862 | Amerita, Inc. | Home Health | 2 Hemingway Dr Ste 200, Riverside, RI 02915-2224 | 2016-09-29 |
| 1346604022 | Promesa Primary Care, LLC | Home Health | 3978 Brockton Ave, Riverside, CA 92501-3203 | 2016-04-08 |
| 1922477975 | Nathan O Ogbatue | Home Health | 11860 Magnolia Ave, Suite J, Riverside, CA 92503-7111 | 2015-09-21 |
| 1497141600 | Alsstate Medical Staffing LLC | Home Health | 120 Amaral St, Riverside, RI 02915-2227 | 2015-04-14 |
| 1184065237 | Roberts&associates, Inc | Home Health | 8175 Limonite Ave # A2&a3, Riverside, CA 92509-6120 | 2013-07-17 |
| 1942544812 | Nathan Obiorah Ogbatue | Home Health | 11860 Magnolia Avenue, Suite J, Riverside, CA 92503-4911 | 2012-11-16 |
| 1164729042 | Human Touch Home Health Care Agency, Inc. (riverside) | Home Health | 6600 Jurupa Ave, 102, Riverside, CA 92504-1041 | 2011-02-11 |
| 1245559947 | Ameriprime Home Health Providers,inc. | Home Health | 11671 Sterling Ave Ste B, Riverside, CA 92503-4971 | 2010-05-20 |
| 1336382654 | Terri Lynette Martin | Home Health | 6633 Magnolia Ave, Riverside, CA 92506-2904 | 2009-04-16 |
| Find all providers in RIVERSIDE | ||||
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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.