SUDARIO HOME HEALTH CARE, INC. (NPI# 1629535380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629535380 |
| Entity Type | Organization |
| Organization Name | SUDARIO HOME HEALTH CARE, INC. |
| Practice Address |
620 W Riute 66 Suite 220a Glendora CA 91740 |
| Practice Telephone | 6266293132 |
| Mailing Telephone | 6266293132 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | MARIANNA GRIGORYAN (CEO) |
| Authorized Official Telephone | 6266293132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
620 W RIUTE 66 SUITE 220A |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| 1154692556 | Cyrus Nasserian | Psychiatry & Neurology | 415 W. Route 66, Suite 202, Glendora, CA 91740 | 2012-01-18 |
| Find all providers in zip 91740 | ||||
| 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 |
|---|---|---|---|---|
| 1023628344 | Life & Hope Home Health Care Inc | Home Health | 620 W Route 66 Ste 103, Glendora, CA 91740-4166 | 2020-08-01 |
| 1013527332 | Sigma Health Care Management Inc | Home Health | 620 W Route 66 Ste 106, Glendora, CA 91740-4166 | 2020-08-01 |
| 1962011056 | Ak Home Health Careinc | Home Health | 620 W Route 66 Ste 215, Glendora, CA 91740-4173 | 2020-07-24 |
| 1598399826 | Capital Home Health Care | Home Health | 502 W Route 66 Ste 17a, Glendora, CA 91740-4343 | 2020-02-25 |
| 1932732476 | Qualicare Home Health Inc. | Home Health | 502 W Route 66 Ste 24, Glendora, CA 91740-4379 | 2020-02-12 |
| 1932755584 | Dinamic Home Health Care | Home Health | 620 W Route 66 Ste 205, Glendora, CA 91740-4173 | 2019-08-09 |
| 1912559055 | Optimal Care Home Health Services | Home Health | 620 W Route 66 Ste 221, Glendora, CA 91740-4173 | 2019-07-09 |
| 1992366678 | Avanta Home Health Services | Home Health | 620 W Route 66 Ste 216, Glendora, CA 91740-4173 | 2019-06-24 |
| 1194383877 | Amma Healthcare Management | Home Health | 620 W Route 66 Ste 207, Glendora, CA 91740-4173 | 2019-05-29 |
| 1164993895 | Astra Home Health Care | Home Health | 502 W Route 66 # 18a, Glendora, CA 91740-4343 | 2018-12-06 |
| Find all providers in GLENDORA | ||||
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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.