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Home HealthCalifornia › Los Angeles

Provide Home Health, Inc.

Home health agency in Los Angeles, California · CCN 559769

Contact and basics

  • Address2829 N San Fernando Rd Suite 206
    Los Angeles, CA 90065
  • Phone-
  • CMS certification number559769
  • Medicare-certified since03/04/2022

Who owns this home health agency

OwnerRoleShareAssociated sinceCMS type flags
MARIAN BACULICONTRACTED MANAGING EMPLOYEE3/15/2025
NICHOLAS DZEBOLOCONTRACTED MANAGING EMPLOYEE3/15/2025
QUERUBIN IGNACIO5% OR GREATER DIRECT OWNERSHIP INTEREST100%3/15/2025
QUERUBIN IGNACIOCORPORATE OFFICER100%3/15/2025
QUERUBIN IGNACIOCORPORATE DIRECTOR100%3/15/2025
QUERUBIN IGNACIOW-2 MANAGING EMPLOYEE100%3/15/2025
QUERUBIN IGNACIOOPERATIONAL/MANAGERIAL CONTROL100%3/15/2025

Source: CMS Home Health Agency All Owners file, linked to this provider through its Medicare enrollment record. Medicare's Care Compare does not present ownership in this form.

Other home health agencies in Los Angeles

All home health agencies in Los Angeles →

Where these records come from

Everything on this page is reproduced from the CMS Provider Data Catalog (July 2026 release) and, where shown, the CMS ownership and Medicare enrollment files. Nothing here is a rating or opinion of ours. If you believe a figure is wrong, email data@carerecords.org with the CCN and we verify against the official file within 5 business days.

How to cite this page: CareRecords, "Provide Home Health, Inc. — home health agency records, Los Angeles, CA." Compiled from the CMS Provider Data Catalog (July 2026 release), CCN 559769. https://carerecords.org/home-health/california/provide-home-health-inc-los-angeles/