ATIVA HOME HEALTH
NPI 1124413620
Home Health in Irvine, CA

Q: What is Ativa LLC's NPI number?

The NPI number for Ativa LLC is 1124413620. It was assigned to this organization in the NPPES registry on April 1, 2015. The provider is doing business as Ativa Home Health.

Q: What is Ativa LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: When was this NPI record last updated?

The NPPES record for Ativa LLC was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2015CLIA 05D2105057 · Waiver

18022 COWAN STE 215, IRVINE, CA 92614(949) 225-2188(949) 225-2187 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ativa Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATIVA HOME HEALTH (NPI 1124413620) is a healthcare organization registered as a home health in Irvine, California and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Marvin Pan, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1124413620

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameATIVA LLC

Location Address18022 COWAN STE 215Irvine, CA 92614-6849

Mailing Address18022 Cowan Ste 215Irvine, CA 92614-6849 · (949) 225-2188 · Fax (949) 225-2187

Phone(949) 225-2188

Fax(949) 225-2187

Organization SubpartNo

Authorized OfficialMarvin PanVp Operations · (949) 225-2188

Enumeration DateApril 1, 2015

Last NPPES UpdateSeptember 12, 2018

✔ NPI 1124413620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in CA · IN PROCESS

Definition

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.

18022 COWAN STE 215, Irvine, CA 92614

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Other Names 1

Doing Business AsAtiva Home Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2105057

Ativa LLC · Irvine, CA

Active · expires Nov 16, 2027

CLIA Number05D2105057

Laboratory TypeHome Health Agency

Certificate Effective DateNovember 17, 2025

Certificate Expiration DateNovember 16, 2027

Laboratory DirectorMon Ta Tsai

Laboratory Phone(949) 225-2188

Laboratory LocationAtiva LLC18022 Cowan Suite 215, Irvine, CA 92614

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Ativa Home Health (CMS certification number 059781), from CMS Care Compare.

Ativa Home Health

Home health agency · Irvine, CA

OwnershipProprietary

CMS Certification Number059781

Medicare-Certified SinceJanuary 11, 2017

Phone(949) 225-2188

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

72.7%

Physician-recommended actions on medication issues completed on time

86.4%

Patients with a functional assessment and care plan at admission and discharge

100%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

26 of 34 patient episodes · observed rate 76.47%

78.68% Same As National Rate

Potentially preventable hospital readmissions after discharge

Cases too small to report

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care · based on 81 episodes

0.90

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATIVA HOME CARE

Home Health Aide

18022 COWAN STE 215
IRVINE, CA 92614

Orange County (949) 225-2188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ativa LLC's NPI number?

The NPI number for Ativa LLC is 1124413620. It was assigned to this organization in the NPPES registry on April 1, 2015. The provider is doing business as Ativa Home Health.

Where is Ativa LLC located?

Ativa LLC is located at 18022 Cowan Ste 215, Irvine, CA 92614. The listed phone number is (949) 225-2188.

What is Ativa LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Ativa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2105057) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ativa LLC a Medicare-certified home health agency?

Yes. Ativa Home Health is a Medicare-certified home health agency, certified since January 11, 2017.

When was this NPI record last updated?

The NPPES record for Ativa LLC was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.