BIG VINE HOME HEALTH SERVICES, INC (NPI# 1881164283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881164283 |
| Entity Type | Organization |
| Organization Name | BIG VINE HOME HEALTH SERVICES, INC |
| Practice Address |
8220 Katella Ave Ste 218 Stanton CA 90680-3294 |
| Practice Telephone | 7146225338 |
| Mailing Telephone | 7146225338 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | JI HOON KIM (CEO) |
| Authorized Official Telephone | 6263158913 |
| 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 | BUSINESS LICENSE NUMBER | 30965 | 01 |
| Other Name | Type Code |
|---|---|
| Big Vine Home Health Services, Inc | Doing Business As Name - Organization |
| Big Vine Home Health Services, Inc | Former Legal Business Name - Organization |
| Street Address |
8220 KATELLA AVE STE 218 |
| City | STANTON |
| State | CA |
| Zip Code | 90680-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| 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 |
|---|---|---|---|---|
| 1053891523 | Martin County Hospital District | Home Health | 1200 N Beaugard, Stanton, TX 79782 | 2018-08-15 |
| 1053832766 | Stable Home Health Inc | Home Health | 12362 Beach Blvd Ste 22, Stanton, CA 90680-3961 | 2017-07-03 |
| 1578972964 | Trulite Home Care, Inc. | Home Health | 310 N. St. Peter, Stanton, TX 79782 | 2014-08-11 |
| 1598191090 | Montcalm County Commission On Aging | Home Health | 613 N State St, Stanton, MI 48888-9702 | 2013-09-17 |
| 1821091380 | Jar-cv Enterprises, Inc | Home Health | 12362 Beach Blvd, Suite 29c, Stanton, CA 90680 | 2005-05-27 |
| 1386101335 | Relevant Home Health Services LLC | Home Health | 12235 Beach Blvd Ste 200c, Stanton, CA 90680-3959 | 2019-02-26 |
| 1861881039 | Sheridan Home Care | Home Health | 312 E Main St, Stanton, MI 48888-8901 | 2015-01-12 |
| 1508025206 | Apa Home Health Care Services Inc | Home Health | 12362 Beach Blvd, Suite 23, Stanton, CA 90680-3935 | 2008-06-06 |
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.