1. Home
  2. Directory
  3. California
  4. Rancho Cucamonga
  5. Home Health
  6. NPI Profile

GRAPEVINE HOME HEALTH SERVICES, INC.
NPI 1174957088
Home Health in Rancho Cucamonga, CA

Active since August 27, 2013CLIA 05D1075340 · Waiver
8459 WHITE OAK AVE, SUITE 103, RANCHO CUCAMONGA, CA 91730(909) 483-6505(909) 944-3250 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grapevine Home Health Services, Inc. NPPES

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

GRAPEVINE HOME HEALTH SERVICES, INC. (NPI 1174957088) is a healthcare organization registered as a home health in Rancho Cucamonga, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Eddie D Ruiz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174957088
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGRAPEVINE HOME HEALTH SERVICES, INC.
Location Address8459 WHITE OAK AVE, SUITE 103Rancho Cucamonga, CA 91730-3872
Mailing Address8459 White Oak Ave, Suite 103Rancho Cucamonga, CA 91730-3872 · (909) 483-6505 · Fax (909) 944-3250
Phone(909) 483-6505
Fax(909) 944-3250
Organization SubpartNo
Authorized OfficialEddie D RuizCfo · (909) 483-6505
Enumeration DateAugust 27, 2013
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1174957088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in CA · 550000797
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.
8459 WHITE OAK AVE, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN059182CA

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 05D1075340

Grapevine Home Health Services Inc · Corona, CA
Active · expires Apr 18, 2027
CLIA Number05D1075340
Laboratory TypeHome Health Agency
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorMowbray Hagan
Laboratory Phone(909) 483-6505
Laboratory LocationGrapevine Home Health Services Inc462 Corona Mall, Ste 101, Corona, CA 92879
CLIA data matches this NPI record on: 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 Grapevine Home Health Services Inc (CMS certification number 059182), from CMS Care Compare.

Grapevine Home Health Services Inc

Home health agency · Corona, CA
OwnershipProprietary
CMS Certification Number059182
Medicare-Certified SinceMarch 18, 2010
Phone(909) 483-6505
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
20 of 33 patient episodes · observed rate 60.61%
65.37% 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 176 episodes
0.80
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.

DOUBLE ACE HOME HEALTH SERVICES, INC.
Home Health
8459 WHITE OAK AVE, #104
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 476-9922

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 Grapevine Home Health Services, Inc.'s NPI number?

The NPI number for Grapevine Home Health Services, Inc. is 1174957088. It was assigned to this organization in the NPPES registry on August 27, 2013.

Where is Grapevine Home Health Services, Inc. located?

Grapevine Home Health Services, Inc. is located at 8459 White Oak Ave Suite 103, Rancho Cucamonga, CA 91730. The listed phone number is (909) 483-6505.

What is Grapevine Home Health Services, Inc.'s specialty?

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

Does Grapevine Home Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1075340) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Grapevine Home Health Services, Inc. a Medicare-certified home health agency?

Yes. Grapevine Home Health Services Inc is a Medicare-certified home health agency, certified since March 18, 2010.

When was this NPI record last updated?

The NPPES record for Grapevine Home Health Services, Inc. was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.