State CMS Certification Number (CCN)* Provider...

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State CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100 PARAMOUNT HOME HEALTH CARE CA 057013 VNA CALIFORNIA CA 057018 VNA OF GREATER LOS ANGELES, INC CA 057019 MARSHALL HOME CARE CA 057021 VNA OF ORANGE COUNTY LLC CA 053101 GUARDIAN ANGEL HOME CARE, INC CA 053102 WEST VALLEY HOME HEALTH CARE, INC CA 053103 VEROMA HOME HEALTH, INC CA 053104 UNITED HOME HEALTH GROUP CA 053105 EASE & COMFORT HOME HEALTH, INC CA 053106 DANNY'S HOME HEALTH CARE, INC CA 053107 GOLDEN HEARTS HOME HEALTH Page 1 of 792 06/17/2018 Ventura Based on Home Health Care Agencies

Transcript of State CMS Certification Number (CCN)* Provider...

Page 1: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

State CMS Certification Number (CCN)* Provider Name

CA 058113 LORIAN HEALTH

CA 053100 PARAMOUNT HOME HEALTH CARE

CA 057013 VNA CALIFORNIA

CA 057018 VNA OF GREATER LOS ANGELES, INC

CA 057019 MARSHALL HOME CARE

CA 057021 VNA OF ORANGE COUNTY LLC

CA 053101 GUARDIAN ANGEL HOME CARE, INC

CA 053102 WEST VALLEY HOME HEALTH CARE, INC

CA 053103 VEROMA HOME HEALTH, INC

CA 053104 UNITED HOME HEALTH GROUP

CA 053105 EASE & COMFORT HOME HEALTH, INC

CA 053106 DANNY'S HOME HEALTH CARE, INC

CA 053107 GOLDEN HEARTS HOME HEALTH

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Address City Zip Phone

9325 SKY PARK COURT,

SUITE 310

SAN DIEGO 92123 6192808184

11838 BERNARDO PLAZA

COURT, SUITE 260A&B

SAN DIEGO 92128 8584878778

6235 RIVER CREST DR STE L RIVERSIDE 92507 9514131200

3452 E FOOTHILL BLVD, STE

110

PASADENA 91107 6265682588

681 MAIN STREET, SUITE 206 PLACERVILLE 95667 5306262900

2520 RED HILL AVE, SUITE

100

SANTA ANA 92705 9492634700

320 COLLEGE AVE, SUITE 230 SANTA ROSA 95401 2482932400

17915 VENTURA BLVD, SUITE

200

ENCINO 91316 8183449844

17915 VENTURA BLVD, SUITE

210

ENCINO 91316 8184574453

1241 S GLENDALE AVE,

SUITE 304C

GLENDALE 91205 8184059467

644 WEST BROADWAY,

SUITE 110

GLENDALE 91204 8182411200

411 N CENTRAL AVENUE,

SUITE 350

GLENDALE 91203 8182461342

7200 VINELAND AVE, SUITE

203

SUN VALLEY 91352 8182555364

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Type of Ownership Offers Nursing Care Services

Proprietary

Proprietary

Non - Profit Other

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Offers Physical Therapy Services

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Offers Occupational Therapy Services

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Offers Speech Pathology Services

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Offers Medical Social Services

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Offers Home Health Aide Services Date Certified Footnote

04/24/2002

10/22/2016

07/01/1966

07/01/1966

07/01/1966

07/01/1966

04/20/2017

12/27/2016

03/23/2017

01/26/2017

12/28/2016

01/25/2017

06/14/2017

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CA 053108 PRO HOME HEALTH

CA 053109 ANGELICUM HOME HEALTH INC

CA 053110 SO CAL HHA

CA 053111 V & G HOME HEALTH, INC

CA 053112 PRN HOME HEALTH, INC

CA 053113 MAXIM HEALTHCARE SERVICES, INC

CA 053114 REMEDY HEALTH CARE SERVICES INC

CA 053115 VINEYARD HOME HEALTHCARE LLC

CA 053116 A BETTER SOLUTION IN HOME CARE

CA 053117 MED-LIFE HOME HEALTH, INC

CA 053118 LIHA HOME HEALTH CARE, INC

CA 053119 MAXIM HEALTHCARE SERVICES, INC.

CA 053120 K & K HOME HEALTH CARE, INC

CA 053121 PREMIER HEALTHCARE SERVICES, LLC

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2350 W SHAW AVE STE 103 FRESNO 93711 5597538181

9434 CHESAPEAKE DRIVE,

UNIT 1203

SAN DIEGO 92123 8585255295

11507 OXNARD STREET,

UNIT 4

N HOLLYWOOD 91606 8185059500

7220 WOODMAN AVE, SUITE

203

VAN NUYS 91405 8189048888

1241 S GLENDALE AVE,

SUITE 301C

GLENDALE 91205 8186467677

801 CORPORATE CENTER

DRIVE, SUITE 210

POMONA 91768 6269626453

16689 FOOTHILL BLVD SUITE

204

FONTANA 92335 9097360052

9605 ARROW ROUTE, SUITE

S

RANCHO

CUCAMONGA

91730 9099870300

3636 CAMINO DEL RIO

NORTH, SUITE 100

SAN DIEGO 92108 6195859011

1701 W BURBANK BLVD,

SUITE 203

BURBANK 91506 8185690209

3200 WILSHIRE BLVD, SUITE

305, NORTH TOWER

LOS ANGELES 90010 2133791363

1515 190TH ST, SUITE 300 GARDENA 90248 3103299115

7728 FOOTHILL BLVD, SUITE

B

TUJUNGA 91042 8183524747

10100 PIONEER BLVD, SUITE

125

SANTA FE SPRINGS 90670 4242331570

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Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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06/23/2017

05/02/2017

06/08/2017

06/19/2017

01/10/2017

10/24/2016

05/09/2017

06/23/2017

07/08/2017

06/16/2017

07/06/2017

10/28/2016

06/16/2017

06/28/2016

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CA 053122 MERIT HOME HEALTH SERVICES INC

CA 053123 ELIXIR HOME HEALTH CARE

CA 053124 OPTIMAL HEALTH CARE, INC

CA 053125 REVIVE HOME HEALTH CARE, INC

CA 053126 ALTA HOME HEALTH, INC

CA 053127 AMERICAN STELLAR HOME HEALTH

SERVICES, INC

CA 053128 GLORY HOME HEALTH, INC

CA 053129 GATEWAY HOME HEALTH CORP

CA 053130 ABUNDANT HOME HEALTH CARE, INC,

CA 053131 HIGH QUALITY HOME HEALTH CARE, INC

CA 053132 HEALTH QUEST HOMECARE, INC

CA 053133 HARMONY HOME HEALTH

CA 053134 MAXIM HEALTHCARE SERVICES, INC

CA 053135 MAXIM HEALTHCARE SERVICES, INC

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125

1003 COOLEY DRIVE SUITE

108

COLTON 92324 9098258767

1420 W KETTLEMAN LANE,

SUITE S2

LODI 95242 2093695110

5530 CORBIN AVE, #125 TARZANA 91356 8186092663

1918 W MAGNOLIA BLVD,

SUITE 200

BURBANK 91506 9099496566

17620 SHERMAN WAY, SUITE

219

VAN NUYS 91406 8187571159

2700 NORTH MAIN ST, 10TH

FLOOR, SUITE 1000

SANTA ANA 92705 7149480124

5085 WEST PICO BLVD LOS ANGELES 90019 6265895289

3018 WILLOW PASS ROAD,

SUITE 210

CONCORD 94519 9253224455

6314 VAN NUYS BLVD, SUITE

200

VAN NUYS 91401 8187822826

11755 VICTORY BLVD, SUITE

210

N HOLLYWOOD 91606 8189807300

6257 FOOTHILL BLVD, SUITE

C

TUJUNGA 91402 8182753684

295 89TH STREET, SUITE 307 DALY CITY 94015 6507314566

1 RIDGEGATE DR SUITE 130 TEMECULA 92590 9516940100

34250 GATEWAY DRIVE, STE

100

PALM DESERT 92211 7604693169

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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06/13/2017

08/24/2017

06/27/2017

08/31/2017

07/27/2017

07/20/2017

09/22/2017

11/27/2017

04/21/2017

06/14/2017

09/26/2017

08/14/2017

09/24/2015

10/01/2015

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CA 053136 NURSECARE HOME HEALTH, INC

CA 053138 LM HOME HEALTH CARE SERVICES, INC

CA 053139 ADVANCE SPECIALTY CARE SOUTH, INC.

CA 053140 ALAPHIA CARE HOME HEALTH SERVICES,

INC.

CA 057002 CENTRAL COAST VNA & HOSPICE, INC

CA 057003 SUTTER VISITING NURSE ASSOCIATION

AND HOSPICE

CA 057004 SUTTER VISITING NURSE ASSOCIATION

AND HOSPICE

CA 057007 SUTTER VISITING NURSE ASSOCIATION

AND HOSPICE

CA 057008 VNA HOSPICE AND PALLIATIVE CARE OF

SOUTHERN CA

CA 057031 SUTTER VISITING NURSE ASSOCIATION

CA 057036 GENTIVA HEALTH SERVICES

CA 057040 LIVINGSTON MEMORIAL VISITING NURSE

ASSOCIATION

CA 057053 KAISER FOUNDATION HOSPITAL LOS

ANGELES HHA

CA 057071 KAISER FOUNDATION HOSP HOME HEALTH

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100

21000 DEVONSHIRE STREET,

SUITE #102C

CHATSWORTH 91311 2134401674

17777 VENTURA BLVD, SUITE

240

ENCINO 91316 8186696026

12437 LEWIS ST., SUITE 201 GARDEN GROVE 92840 7142761115

10630 TOWN CENTER DRIVE,

SUITE 116

RANCHO

CUCAMONGA

91730 9094580578

5 LOWER RAGSDALE DRIVE MONTEREY 93942 8313726668

2800 LEAVENWORTH

STREET, SUITE 350A

SAN FRANCISCO 94133 4157494200

5099 COMMERCIAL CIRCLE,

SUITE 205-A

CONCORD 94520 9256774240

2880 SOQUEL AVENUE,

SUITE 10

SANTA CRUZ 95062 8314796625

150 W FIRST ST STE 270 CLAREMONT 91711 9096243574

100 ROWLAND WAY, SUITE

215

NOVATO 94945 4152097700

1260 N DUTTON AVE STE 150 SANTA ROSA 95401 7075457114

1996 EASTMAN AVE STE 101 VENTURA 93003 8056420239

3699 WILSHIRE BLVD 3RD

FLOOR

LOS ANGELES 90010 3237834375

4131 GEARY BLVD SAN FRANCISCO 94118 4158332770

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Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Non - Profit Private

Proprietary

Non - Profit Other

Non - Profit Private

Non - Profit Other

Government - State/ County

Non - Profit Other

Proprietary

Non - Profit Private

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09/05/2017

10/02/2017

09/19/2017

01/12/2018

07/01/1966

07/01/1966

07/01/1966

07/01/1966

07/01/1966

07/01/1966

07/01/1966

07/01/1966

07/01/1966

07/01/1972

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- SAN FRANCISCO

CA 057072 MEMORIALCARE HOME HEALTH, LLC

CA 057100 LOMA LINDA UNIV MED CTR HHA

CA 057135 SAINT AGNES HOME HEALTH AND HOSPICE

CA 057136 KINDRED AT HOME

CA 057138 ADVENTIST HEALTH HOME CARE SERVICES

CA 057143 GENTIVA HEALTH SERVICES

CA 057163 VISITING NURSE AND HOSPICE CARE OF

SANTA BARBARA

CA 057187 PRESBYTERIAN INTERCOMMUNITY

HOSPITAL HOME HEALTH

CA 057190 PATHWAYS HOME HEALTH AND HOSPICE

CA 057198 INTERIM HEALTHCARE - HOME HEALTH

CA 057200 TAHOE FOREST HHS

CA 057203 GENTIVA HEALTH SERVICES

CA 057205 ST. ELIZABETH COMM HOSP HHA

CA 057212 ST JOSEPH'S MEDICAL CENTER HOME

HEALTH

CA 057214 WILSHIRE HOME HEALTH

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23521 PASEO DE VALENCIA,

STE 100

LAGUNA HILLS 92653 9494601500

11265 MT VIEW AVE STE H14 LOMA LINDA 92354 9095583096

6729 NORTH WILLOW AVE

SUITE 103

FRESNO 93710 5594505112

12419 LEWIS STREET, SUITE

104

GARDEN GROVE 92840 7146632703

27 WOODLAND ROAD SAINT HELENA 94574 7079675770

2525 CAMINO DEL RIO S STE

22O

SAN DIEGO 92108 6192999900

512 EAST GUTIERREZ

STREET, SUITE B

SANTA BARBARA 93103 8059655555

15050 IMPERIAL HWY LA MIRADA 90638 5629027763

585 NORTH MARY AVENUE SUNNYVALE 94085 4087305900

7920 ALTA SUNRISE DRIVE,

SUITE 240

CITRUS HEIGHTS 95610 9164868181

10985 SPRING LANE TRUCKEE 96161 5305823244

3220 S HIGUERA ST STE 101 SAN LUIS OBISPO 93401 8055444402

1425 VISTA WAY RED BLUFF 96080 5302454040

509 W WEBER AVE, SUITE

200

STOCKTON 95203 2094736700

1130 E SHAW AVE, SUITE 200 FRESNO 93710 5592480131

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Proprietary

Proprietary

Non - Profit Religious

Proprietary

Non - Profit Religious

Proprietary

Non - Profit Private

Non - Profit Private

Non - Profit Private

Proprietary

Government - Local

Proprietary

Non - Profit Religious

Non - Profit Religious

Non - Profit Other

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01/01/1973

10/12/1967

05/25/1970

06/12/1970

08/06/1970

12/30/1970

05/15/1974

09/01/1976

02/28/1977

12/05/1977

07/01/1977

03/06/1978

01/16/1978

04/28/1978

06/01/1978

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CA 057219 NORTHBAY HEALTH AT HOME

CA 057226 BARTON HEALTHCARE SYSTEM HOME

HEALTH

CA 057230 RIDGECREST REGIONAL HOSPITAL HOME

HEALTH AGENCY

CA 057234 JOHN C FREMONT H C DIST HHA

CA 057246 OXFORD HEALTH CARE

CA 057248 COMMUNITY HOME CARE

CA 057252 ANGELES HOME HEALTH

CA 057255 KAWEAH DELTA HOME HEALTH

CA 057256 ST JOSEPH HOME CARE - HUMBOLDT

COUNTY

CA 057258 INTERIM HEALTHCARE

CA 057274 WOODLAND HEALTHCARE HOME HEALTH

CA 057276 JOHN MUIR HOME HEALTH SERVICES

CA 057278 ADVENTIST HEALTH HOME CARE SERVICES

CA 057368 WILSHIRE HOME HEALTH

CA 057374 PREMIER HEALTHCARE SERVICES

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4520 BUSINESS CENTER

DRIVE, SUITE 160

FAIRFIELD 94534 7076463575

2092 LAKE TAHOE BLVD,

SUITE 500

SOUTH LAKE TAHOE 96150 5305423171

1653 TRIANGLE DRIVE RIDGECREST 93555 7604460624

5108 HIGHWAY 140, STE C MARIPOSA 95338 2099663800

280 ATLANTIC AVE LONG BEACH 90802 5624326441

1630 E SHAW, SUITE 172 FRESNO 93710 5594591615

3699 WILSHIRE BLVD, SUITE

720

LOS ANGELES 90010 2134875131

403 WEST MAIN STREET VISALIA 93291 5596246400

2127 HARRISON AVE #3 EUREKA 95501 7074439332

950 S BASCOM AVENUE,

SUITE 2007

SAN JOSE 95128 4082925680

1207 FAIRCHILD COURT WOODLAND 95695 5304062900

2298 PIKE COURT CONCORD 94520 9256742560

800 S. LOWER SACRAMENTO

RD.

LODI 95242 2093333131

277 SOUTH ST STE W SAN LUIS OBISPO 93401 8057828600

1601 RESPONSE ROAD,

SUITE 250

SACRAMENTO 95815 9169230881

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Non - Profit Private

Non - Profit Private

Non - Profit Private

Government - Local

Proprietary

Non - Profit Private

Proprietary

Non - Profit Other

Non - Profit Religious

Proprietary

Non - Profit Other

Non - Profit Private

Non - Profit Other

Non - Profit Private

Proprietary

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01/18/1979

02/27/1979

05/09/1979

10/01/1979

08/01/1979

07/18/1980

08/20/1980

12/03/1980

12/12/1980

04/07/1980

10/20/1981

09/04/1981

10/16/1981

01/30/1997

03/31/2011

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CA 057404 COUNTRY HOME CARE

CA 057407 KAISER FOUNDATION HOSPITAL HOME

HEALTH SANTA ROSA

CA 057412 ESKATON HOME HEALTHCARE

CA 057413 MANAGED HOMECARE INC

CA 057415 UNI CARE HOME CARE INC

CA 057422 LIVINGSTONE HOME HEALTH SERVICES,

INC

CA 057426 HOLISTIC APPROACH INC

CA 057427 SUTTER COAST HOME CARE

CA 057432 COMMUNITY HOME HEALTH

CA 057433 A C HOME HEALTH AGENCY

CA 057445 ACCREDITED HOME HEALTH SERVICES

CA 057447 RELIANCE HOME HEALTH SERVICES

CA 057448 FREMONT-RIDEOUT HOME HEALTH

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SUITE 250

9370 WEST STOCKTON BLVD

#130

ELK GROVE 95758 9166914100

3550 ROUND BARN BLVD,

SUITE 112

SANTA ROSA 95403 7075665488

9722 FAIR OAKS BLVD, SUITE

A & E

FAIR OAKS 95628 9165363750

3120 CHICAGO AVENUE,

SUITE 130

RIVERSIDE 92507 9513410782

630 SOUTH BRAWLEY

AVENUE, SUITE 5

BRAWLEY 92227 7603449180

6301 BEACH BLVD, SUITE 212 BUENA PARK 90621 7149946329

4505 PRECISSI LANE, SUITE

B

STOCKTON 95207 2099567050

785 E WASHINGTON BLVD,

SUITE 14 & 15

CRESCENT CITY 95531 7074648511

348 WEST HOSPITALITY

LANE SUITE 200

SAN BERNARDINO 92408 9098876391

5601 W SLAUSON AVE SUITE

235

CULVER CITY 90230 3232945189

5955 DESOTO AVENUE SUITE

160

WOODLAND HILLS 91367 8189861234

16660 PARAMOUNT BLVD

STE 304

PARAMOUNT 90723 5626308783

939 LIVE OAK BLVD YUBA CITY 95991 5306737100

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Proprietary

Non - Profit Private

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

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07/22/1993

06/16/1993

08/02/1993

08/09/1993

09/03/1993

10/06/1993

10/21/1993

09/02/1993

10/21/1993

10/12/1993

10/29/1993

12/01/1993

09/10/1993

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CA 057449 KINDRED AT HOME

CA 057456 PARAMOUNT HOME CARE

CA 057470 COSMOPOLITAN HEALTH SERVICES

CA 057477 ADVENTIST HEALTH HOME CARE SERVICES

CA 057483 TOTAL CARE NURSING SERVICES

CA 057494 REDLANDS COMMUNITY HOSP H C

CA 057495 ERA HOME HEALTH SERVICES

CORPORATION

CA 057497 PRIME NURSING SERVICES

CA 057503 TRI-CITY HOME CARE

CA 057505 PALOMAR HOME HEALTH SERVICES

CA 057517 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 057524 MAD RIVER COMM HOSP H C SRVS

CA 057537 ADVENTIST HEALTH/HOME CARE SERVICES

CA 057539 SHARP HOME HEALTH

CA 057545 SUTTER VISITING NURSE ASSOCIATION

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395 TAYLOR BLVD, SUITE 118 PLEASANT HILL 94523 9252466000

3400 W BALL ROAD STE 209 ANAHEIM 92804 7149941250

21860 BURBANK BLVD, STE

180

WOODLAND HILLS 91367 8188883385

440 GREENFIELD AVENUE

SUITE C

HANFORD 93230 5595853425

3450 WILSHIRE BLVD SUITE

1003

LOS ANGELES 90010 2133801399

350 TERRACINA BLVD REDLANDS 92373 9093355647

270 W BADILLO ST COVINA 91723 6263322581

3250 WILSHIRE BLVD STE

1008

LOS ANGELES 90010 2133809991

2095 W VISTA WAY # 220 VISTA 92083 7609405800

800 WEST VALLEY PARKWAY

SUITE 200

ESCONDIDO 92025 4422813800

3170 CROW CANYON PLACE,

SUITE 270

SAN RAMON 94583 9256590059

4605 VALLEY WEST BLVD ARCATA 95521 7078268420

2650 JONES WAY STE 26 SIMI VALLEY 93065 8059558190

8080 DAGGET STREET SUITE

200

SAN DIEGO 92111 8585414850

3001 LAVA RIDGE COURT, ROSEVILLE 95661 9167977979

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Proprietary

Proprietary

Proprietary

Non - Profit Religious

Proprietary

Non - Profit Other

Proprietary

Proprietary

Government - State/ County

Government - State/ County

Proprietary

Proprietary

Non - Profit Religious

Non - Profit Other

Non - Profit Other

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12/09/1993

01/10/1994

03/23/1994

04/08/1994

03/10/1994

04/28/1994

05/03/1994

05/13/1994

09/29/1982

10/12/1982

03/03/1983

04/28/1983

05/20/1983

07/14/1983

09/22/1983

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AND HOSPICE

CA 057564 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 057567 PEC HEALTHCARE

CA 057569 INTERIM HEALTHCARE OF THE CENTRAL

VALLEY

CA 057570 SELF-HELP HOMECARE & HOSPICE

CA 057571 COVENANT CARE AT HOME

CA 057573 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 057600 ST JOSEPH HEALTH SYSTEM HOME

HEALTH AGENCY

CA 057602 SCRIPPS HOME HEALTH CARE SERVICES

CA 057606 ADVENTIST HEALTH HOME CARE SERVICES

CA 057609 MERCY HOME CARE

CA 057620 SUTTER VISITING NURSE ASSOCIATION

AND HOSPICE

CA 057627 PROVIDENCE HOME CARE

CA 057631 MERCY HOME HEALTH

CA 057645 ADVENTIST HEALTH HOME CARE SERVICES

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SUITE 330A

5050 MURPHY CANYON

ROAD, SUITE 200

SAN DIEGO 92123 8007657595

10507 GARDEN GROVE BLVD GARDEN GROVE 92843 7146892300

1843 E FIR AVENUE, STE 101 FRESNO 93720 5592240560

731 SANSOME STREET,

SUITE 100

SAN FRANCISCO 94111 4156777600

125 NORTH BROADWAY

SUITE 1B

TURLOCK 95380 2092505200

3636 BIRCH STREET, SUITE

195

NEWPORT BEACH 92660 9492500133

200 W CENTER STREET

PROMENADE, SUITE 200C

ANAHEIM 92805 7147129500

4311 THIRD AVE SUITE B SAN DIEGO 92103 6194527000

6626 CLARK ROAD, STE P PARADISE 95969 5308723378

1544 MARKET STREET REDDING 96001 5302454040

889 11TH STREET LAKEPORT 95453 7072637400

3413 PACIFIC AVENUE, SUITE

201

BURBANK 91505 8188435111

9912 BUSINESS PARK DRIVE,

SUITE 100

SACRAMENTO 95827 9162813900

281 HARVEY DRIVE UNIT A GLENDALE 91206 8184098379

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Proprietary

Proprietary

Proprietary

Non - Profit Other

Non - Profit Religious

Proprietary

Non - Profit Religious

Non - Profit Private

Non - Profit Religious

Non - Profit Private

Non - Profit Private

Non - Profit Religious

Non - Profit Religious

Non - Profit Religious

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10/27/1983

10/06/1983

10/06/1983

12/05/1983

10/28/1983

06/22/1983

02/24/1984

03/24/1984

01/31/1984

04/04/1984

01/13/1984

01/30/1984

05/21/1984

06/18/1984

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CA 057657 LIBERTANA HOME HEALTH OF SHERMAN

OAKS

CA 057659 ST. JOSEPH HOME CARE - QUEEN OF THE

VALLEY

CA 057661 ENLOE MEDICAL CENTER HOME HEALTH

AGENCY

CA 057678 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 057679 BUTTE HOME HEALTH AND HOSPICE

CA 057695 SUTTER VISITING NURSE ASSOCIATION

AND HOSPICE

CA 057704 MERCY-MEMORIAL HOME HEALTH

CA 057708 SISKIYOU HOME HEALTH SERVICES

CA 057710 ADVENTIST HEALTH HOME CARE SERVICES

CA 057713 TRINITY HOME HEALTH SERVICES

CA 057734 USA HOME HEALTH, INC

CA 057736 CITRUS VALLEY HOME HEALTH

CA 057742 AMERICADE HOME HEALTH AGENCY

CA 057746 MENDOCINO COAST HOME HEALTH

CA 057753 BETTER HEALTH HOME CARE

CA 057755 SIERRA NEVADA HOME CARE

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5805 SEPULVEDA BLVD

SUITE 605

VAN NUYS 91411 8189025000

980 TRANCAS ST, SUITE 9 NAPA 94558 7072574124

1390 E LASSEN AVE CHICO 95973 5303323161

1455 SOUTH AUTO CENTER

DRIVE STE 150

ONTARIO 91761 9096057000

10 CONSTITUTION DRIVE CHICO 95973 5308950462

1316 CELESTE DRIVE, SUITE

140

MODESTO 95355 2095711055

1600 D STREET, SUITE 202 BAKERSFIELD 93301 6616325050

700 S MAIN ST SUITE 2 YREKA 96097 5308427325

9245 HIGHWAY 53 LOWER LAKE 95457 7079940737

60 EASTER AVENUE WEAVERVILLE 96093 5306236700

1415 E COLORADO STREET,

SUITE 206

GLENDALE 91205 8182445112

820 N PHILLIPS AVE WEST COVINA 91791 6268592266

420 N MONTEBELLO BLVD

SUITE 203

MONTEBELLO 90640 3232781283

700 RIVER DRIVE FORT BRAGG 95437 7079611234

1661 HANOVER RD., SUITE

221B

CITY OF INDUSTRY 91748 6265813182

1345 WHISPERING PINES GRASS VALLEY 95945 5302746350

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Proprietary

Non - Profit Religious

Non - Profit Private

Proprietary

Non - Profit Private

Non - Profit Private

Non - Profit Religious

Non - Profit Private

Non - Profit Religious

Government - Local

Proprietary

Non - Profit Other

Proprietary

Non - Profit Other

Proprietary

Non - Profit Other

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10/04/1984

09/04/1984

09/17/1984

09/10/1984

01/22/1985

06/17/1985

05/23/1985

09/01/1985

09/20/1985

06/21/1985

03/27/1986

02/26/1986

04/25/1986

07/02/1986

05/22/1986

08/25/1986

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CA 057761 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 057763 HI DESERT HOME HEALTH SERVICES

CA 057772 HEALTH AT HOME

CA 057774 INLAND EMPIRE HOME HEALTH

CA 057786 ANTELOPE VALLEY HOME CARE

CA 057788 TORRANCE MEMORIAL HOME HEALTH

CA 057792 GLENDALE HOME HEALTH CARE

CA 057794 KAISER FOUNDATION TRI CENTRAL HHA

CA 057795 KAISER FOUNDATION HOSPITAL VALLEY

CONTINUING CARE

CA 057797 KAISER FOUNDATION HOSPITAL SAN

DIEGO HHA

CA 057799 KAISER FOUNDATION HOSPITAL ANAHEIM

HHA

CA 058000 EXCELLENT IN-HOME CARE, INC

CA 058004 JOLA HOME HEALTH AGENCY

CA 058005 VISITING HOME NURSES, INC

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LANE

9221 CORBIN AVE, STE 160 NORTHRIDGE 91324 8184809300

63484 CHICKSAW ROAD JOSHUA TREE 92252 7603666424

375 LAGUNA HONDA BLVD,

UNIT F5

SAN FRANCISCO 94116 4157594700

27851 BRADLEY ROAD, SUITE

#125

SUN CITY 92586 9516724829

44335 LOWTREE AVENUE LANCASTER 93534 6619495938

23326 HAWTHORNE BLVD

SUITE 100 A

TORRANCE 90505 3107843739

914 N GLENDALE AVE GLENDALE 91206 8185022121

12200 BELLFLOWER BLVD DOWNEY 90242 5626224350

10605 BALBOA BLVD SUITE

330

GRANADA HILLS 91344 8188327200

10992 SAN DIEGO MISSION

ROAD, BLDG 2, SUITE 3601

SAN DIEGO 92108 6196414663

17542 E 17TH STREET TUSTIN 92780 7147344500

16601 VENTURA BLVD SUITE

506

ENCINO 91436 8187554900

323 N PRAIRIE AVE SUITE

425

INGLEWOOD 90301 3104120011

8273 WHITE OAK AVENUE

SUITE 110

RANCHO

CUCAMONGA

91730 9094847881

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Proprietary

Government - Local

Government - Local

Proprietary

Non - Profit Other

Non - Profit Private

Proprietary

Non - Profit Private

Non - Profit Private

Non - Profit Other

Non - Profit Other

Proprietary

Proprietary

Proprietary

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11/24/1986

12/22/1986

02/18/1987

09/01/1987

10/08/1987

12/10/1987

02/24/1988

07/30/1985

03/31/1983

07/08/1983

03/10/1985

04/15/1997

05/05/1997

05/25/1997

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Page 89: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 058008 IMMACULATE HEART OF MARY HH

CA 058010 ERG HOME HEALTH PROVIDER, INC

CA 058013 ARPI, INC HOME HEALTH CARE

CA 058014 CLORAN HOME HEALTH SERVICES

CA 058017 ALWAYS BETTER CARE HOME HEALTH

PROVIDERS

CA 058018 SPIRIT HOME HEALTH CARE

CA 058022 KANDDID HEALTHCARE INC

CA 058023 ALDEN HOME HEALTH, INC

CA 058025 GENTIVA HEALTH SERVICES - CERTIFIED

CA 058026 ETHICAL HOME HEALTH CARE

CA 058027 ALL MED HOME HEALTH SRVS

CA 058030 SAN MARINO HOME HEALTH

CA 058032 PROGRESSIVE 2000 HHC

CA 058033 EAST WEST HOME HEALTH

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SUITE 110 CUCAMONGA

10066 E ROSECRANS AVE BELLFLOWER 90706 5629209868

11700 SOUTH STREET SUITE

200

ARTESIA 90701 5624031070

206 N JACKSON ST, STE 100 GLENDALE 91206 8182393949

11428 E ARTESIA BLVD SUITE

3

ARTESIA 90701 5628607770

3600 WILSHIRE BLVD SUITE

1734

LOS ANGELES 90010 2132512315

8929 SOUTH SEPULVEDA

STE 306

WESTCHESTER 90045 3106414100

9161 SIERRA AVENUE, SUITE

200

FONTANA 92335 9095746000

1061 W AVENUE M-14, SUITIE

A

PALMDALE 93551 6612668560

10100 TRINITY PARKWAY,

SUITE 425

STOCKTON 95219 2094747881

550 NORTH EUCLID AVENUE UPLAND 91786 9099469000

16661 VENTURA BLVD STE

503

ENCINO 91436 8189862356

2233 HUNTINGTON DRIVE

SUITE 3

SAN MARINO 91108 6265840635

948 NORTH FAIRFAX AVE,

SUITE 200

LOS ANGELES 90046 3236552011

11818 SOUTH ST, #201 CERRITOS 90703 5622076970

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Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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05/01/1997

05/20/1997

06/06/1997

07/11/1997

07/07/1997

06/18/1997

03/30/1998

08/19/1997

08/07/1997

08/01/1997

08/27/1997

07/29/1997

06/03/1998

06/15/1998

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CA 058034 CALIFORNIA NURSES HOME HEALTH

CA 058037 LAS POSAS HOME HEALTH SERVICES

CA 058038 ACT HOME HEALTH, INC

CA 058039 ASSISTED HOME CARE

CA 058042 CAPITAL HOME HEALTH AGENCY INC

CA 058047 NEW VISION HOME HEALTH AGENCY, INC

CA 058049 EPIC HOMECARE INC

CA 058052 DOMINICAN HOME HEALTH

CA 058053 DSP HOME HEALTH INC

CA 058083 ALOHA HEALTHCARE

CA 058084 HEALING HANDS HOME HEALTH CARE

CA 058054 ARS HEALTH CARE, INC

CA 058055 INTRA CARE HOME HEALTH SFV INC.

CA 058056 HOME HEALTH SVCS OF CA, INC

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17418 CHATSWORTH

STREET SUITE 200

GRANADA HILLS 91344 8188321889

1601 CARMEN DR STE 202 CAMARILLO 93010 8054847284

12431 LEWIS STREET, SUITE

101

GARDEN GROVE 92840 7145600800

4450 WESTINGHOUSE

STREET, SUITE #101

VENTURA 93003 8056772100

2818 SOUTH LA CIENIGA

AVENUE STE 205

LOS ANGELES 90034 3102535384

12145 MORA DRIVE, UNIT 10 SANTA FE SPRINGS 90670 5629037771

6404 WILSHIRE BLVD #550 LOS ANGELES 90048 3236556186

2045 40TH AVENUE, SUITE A CAPITOLA 95010 8314657988

1815 EAST WORKMAN AVE

STE D

WEST COVINA 91791 6263312265

13181 CROSSROADS

PARKWAY NORTH, STE 322

CITY OF INDUSTRY 91746 6262898999

2525 COLORADO BLVD SUITE

D

LOS ANGELES 90041 3237390333

4201 WILSHIRE BLVD SUITE

511

LOS ANGELES 90010 3239367948

26635 AGOURA ROAD, STE

101

CALABASAS 91302 8186098884

2140 W. OLYMPIC BLVD,

SUITE 431

LOS ANGELES 90006 2133859949

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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07/17/1998

09/28/1998

09/21/1998

01/08/1999

02/19/1999

08/31/1999

11/02/1999

01/20/2000

02/25/2000

10/09/2001

10/16/2001

06/05/2000

04/28/2000

07/19/2000

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CA 058058 ACCXELL HOME HEALTH AGENCY

CA 058059 LOS ROBLES HOME CARE SERVICES INC

CA 058063 PRIORITY ONE HOME HEALTH SERVICES

INC

CA 058064 AMERICAN EMPIRE HOME HEALTH

CA 058065 THE CENTER OF HOME HEALTH, INC

CA 058067 ASSISTED HOME CARE

CA 058068 KAISER FOUNDATION HOSPITAL HOME

HEALTH AGENCY

CA 058085 HORIZON HOME CARE, INC

CA 058071 ACE HEALTH SYSTEMS, INC

CA 058072 THE HOME CARE GROUP INC

CA 058075 GENUS HOME CARE, INC

CA 058076 CHARTER HEALTH CARE GROUP, LLC

CA 058077 WESTERN HOME CARE, INC

CA 058078 CHS HOMECARE

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SUITE 431

370 AMA POLA AVENUE

SUITE 203

TORRANCE 90501 3103473327

68 LONG COURT STE 2C THOUSAND OAKS 91360 8057777234

4959 PALO VERDE STREET

SUITE 108C

MONTCLAIR 91763 9096256377

538 E SAN BERNARDINO

ROAD

COVINA 91723 6267326542

20705 SOUTH WESTERN AVE

SUITE 216

TORRANCE 90501 3107828100

3731 WILSHIRE BLVD STE 516 LOS ANGELES 90010 2133818310

17284 SLOVER AVENUE FONTANA 92335 9095551212

12440 FIRESTONE BLVD,

SUITE 205

NORWALK 90650 2133659055

11385 183RD STREET CERRITOS 90703 5624020288

20620 LEAPWOOD AVENUE

SUITE L

CARSON 90746 3105169255

1476 W 9TH STREET SUITE

B1

UPLAND 91786 9099811821

970 S VILLAGE OAKS DR,

SUITE 102

COVINA 91724 6269157490

6131 ORANGETHORPE

AVENUE, SUITE 480

BUENA PARK 90620 7145221204

2525 CHERRY AVENUE, SIGNAL HILL 90755 5622561640

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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09/22/2000

11/16/2000

12/13/2000

01/08/2001

02/27/2001

03/13/2001

09/12/2001

10/01/2001

05/24/2001

06/12/2001

08/09/2001

07/20/2001

08/27/2001

08/17/2001

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CA 058080 ACCURATE HOME HEALTH CARE, INC

CA 058081 JAMECO HOME HEALTH AGENCY INC

CA 058082 ACE HOME HEALTH, INC

CA 058087 ATTENTIVE SERVICES HOME HEALTH INC

CA 058089 AMERICAN HOMECARE HEALTH SERVICES

CA 058090 METROPOLITAN HOME HEALTH

CA 058094 PREMIUM HOME HEALTH, INC

CA 058097 WESTERN STATES HOME HEALTH CAR

CA 058099 SUNSHINE HOME HEALTH CARE, INC

CA 058100 G T S HOME HEALTH SERVICES, INC

CA 058101 RED OAK HOME HEALTH SERVICES

CA 058102 OCEAN SIDE HOME HEALTH SERVICE

CA 058103 INGLEWOOD HOME HEALTH CARE AGENCY,

INC

CA 058104 PROLIFE HOME HEALTH CORPORATION

CA 058105 EDEN HOME HEALTHCARE INC

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SUITE 320

3360 FLAIR DR, STE 210A EL MONTE 91731 6265765006

2335 W FOOTHILL BLVD,

SUITE 17

UPLAND 91786 9094474705

4055 WILSHIRE BLVD #105 LOS ANGELES 90010 2133839678

8425 W3RD ST, STE 403 LOS ANGELES 90048 3236550080

745 N WHITNALL HWY BURBANK 91505 8185661020

12135 RIVERSIDE DRIVE VALLEY VILLAGE 91607 8185085801

12241 FIRESTONE BLVD,

SUITE C & D

NORWALK 90650 5629292880

301 NORTH PRAIRIE

AVENUE, SUITE 511

INGLEWOOD 90301 3106724581

4637 CHABOT DRIVE, SUITE

240

PLEASANTON 94588 9254691000

13363 SATICOY ST STE 101 NORTH HOLLYWOOD 91606 8185050104

4855 SANTA MONICA BLVD

SUITE 110 & 114

LOS ANGELES 90029 3239069090

4322 WILSHIRE BLVD, SUITE

208

LOS ANGELES 90010 3239345050

111 N LA BREA, SUITE 305 INGLEWOOD 90301 3106771114

3425 POMONA BLVD, UNIT D POMONA 91768 6268100207

320 S GARFIELD AVE #206 ALHAMBRA 91801 6265731001

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

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10/24/2001

10/22/2001

10/04/2001

10/23/2001

11/26/2001

11/13/2001

12/02/2001

01/22/2002

02/21/2002

01/31/2002

02/05/2002

01/15/2002

02/13/2002

03/05/2002

03/05/2002

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CA 058106 NURSING & REHAB AT HOME

CA 058107 PARTNERS HOME HEALTH CARE, INC

CA 058108 BEVERLY HILLS H H CARE, INC

CA 058110 NEW HAVEN HOME HEALTH SERVICES, INC.

CA 058111 INNOVATIVE HOME HEALTH CARE

CA 058115 CARE BEST HOME HEALTH INC

CA 058116 CARE UNLIMITED HEALTH SERVICES

CA 058117 ADDUS HEALTHCARE

CA 058118 A-1 HOME HEALTH SERVICES INC

CA 058119 CQI HOMECARE

CA 058121 HAVEN HEALTHCARE

CA 058123 SUTTER VISITING NURSE ASSOCIATION &

HOSPICE

CA 058124 PRECIOUS HOME HEALTH SERVICES

CA 058126 CARECHOICES HOME HEALTH SERVICES,

INC

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1660 S. AMPHLETT BLVD,

SUITE 112

SAN MATEO 94402 6502864272

815 S CENTRAL AVENUE

SUITE 26

GLENDALE 91204 8182477650

292 S LA CIENEGA BLVD

SUITE 325

BEVERLY HILLS 90211 3106597950

333 GELLERT BOULEVARD,

SUITE 249

DALY CITY 94015 6503011660

266 MONTERREY ROAD,

SUITE E

SOUTH PASADENA 91030 5628605353

200 SO GARFIELD AVENUE

SUITE 205

ALHAMBRA 91801 6262822611

1025 WEST ARROW

HIGHWAY SUITE 105

GLENDORA 91740 6263323767

936 MANGROVE AVE CHICO 95926 5303427248

1407 KUEHNER DRIVE SIMI VALLEY 93063 8055848146

110 S ROSEMEAD BLVD STE

Q5

PASADENA 91107 6264324830

2855 TEMPLE AVENUE, SUITE

A

SIGNAL HILL 90755 5622900558

1700 S AMPHLETT BLVD,

SUITE 300

SAN MATEO 94402 6506852800

18780 AMAR ROAD SUITE

#104

WALNUT 91789 6265814174

1501 E ORANGETHORPE

AVENUE, SUITE 220

FULLERTON 92831 7145157650

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

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03/05/2002

03/21/2002

03/13/2002

04/17/2002

04/04/2002

04/25/2002

05/13/2002

04/18/2002

06/03/2002

06/14/2002

06/25/2002

10/01/2002

06/21/2002

06/25/2002

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INC

CA 058127 FOUNTAIN HOME HEALTH, INC

CA 058128 PRISTINE HOME HEALTH INC

CA 058129 PASADENA HOME HEALTH CARE

CA 058131 MISSION HOME HEALTH SERVICES, INC

CA 058132 EVERGREEN HOME HEALTH

CA 058133 CARE PROVIDERS, INC

CA 058135 INTRA CARE HOME HEALTH PROVIDERS,

INC

CA 058136 ULTIMATE HOME CARE, INC

CA 058137 LEGACY HOMECARE, INC

CA 058139 NEW HORIZON HOME HEALTH CARE

CA 058141 ALL CARE HOME HEALTH OF SAN GABRIEL

CA 058142 ALTA VISTA HEALTH SERVICES

CA 058144 PROFESSIONAL HOME HEALTH SERVICES

CA 058145 ALWAYS STAY HOME NURSING

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AVENUE, SUITE 220

4430 FOUNTAIN AVENUE STE

4

LOS ANGELES 90029 3236638411

1419 N SAN FERNANDO

BLVD, STE 100

BURBANK 91504 8185824110

3821 E SIERRA MADRE BLVD PASADENA 91107 6263511300

505 S VIRGIL AVE SUITE 305 LOS ANGELES 90020 2133874663

17215 STUDEBAKER ROAD,

SUITE 270

CERRITOS 90703 5628609444

3325 WILSHIRE BLVD., SUITE

950

LOS ANGELES 90010 2133861200

4929 WILSHIRE BLVD, SUITE

210

LOS ANGELES 90010 3239640884

616 GLENOAKS BLVD #204 GLENDALE 91207 8182444210

11036 WASHINGTON BLVD

SUITE A

WHITTIER 90606 5625680162

815 E COLORADO BLVD

SUITE 100

GLENDALE 91205 8182444007

3505 HART AVENUE, SUITE

203

ROSEMEAD 91770 6265710387

642 SOUTH SECOND

AVENUE, SUITE A

COVINA 91723 6269182868

750 TERRADO PLAZA SUITE

228

COVINA 91723 6267324541

11633 HAWTHORNE BLVD HAWTHORNE 90250 3102192857

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

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06/28/2002

08/20/2002

08/12/2002

09/06/2002

09/13/2002

09/17/2002

10/03/2002

10/17/2002

09/27/2002

10/23/2002

10/05/2002

10/28/2002

12/05/2002

11/18/2002

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Page 137: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 058146 VALLEY CARE HOME HEALTH SERVICES,

INC

CA 058148 QUALITY HOME HEALTH AGENCY

CA 058149 COMFORT HOME HEALTH CARE, INC

CA 058150 DESERT HOME HEALTH SERVICES, INC

CA 058151 DEVOTED HOME HEALTH SERVICES

CA 058152 VIRGINIA HOME CARE AGENCY

CA 058153 DEDICATED HOME HEALTH CARE

CA 058154 INTEGRITY HOME CARE CORPORATION

CA 058155 MED CARE PLUS HOME HEALTH INC

CA 058156 ASSISTED HEALTHCARE SERVICES

CA 058158 VALLEY HOME HEALTH, INC

CA 058160 CARING HANDS HOME HEALTH AGENCY,

INC

CA 058161 LOS ANGELES HOME HEALTH CARE

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SUITE 220

ONE RIDGEGATE DRIVE,

SUITE #230

TEMECULA 92590 9516766438

4375 E LOWELL STREET

SUITE I

ONTARIO 91761 9093903293

3633 LONG BEACH BLVD

SUITE 103

LONG BEACH 90807 5629974150

558 SO PASEO DOROTEA

UNIT 3

PALM SPRINGS 92264 7603189006

21220 DEVONSHIRE ST, STE

201

CHATSWORTH 91311 8183685759

1 WEST CALIFORNIA BLVD,

STE 226

PASADENA 91105 6267965296

356-A WEST COLORADO ST GLENDALE 91204 8185482684

8954 RESEDA BLVD, STE 201 NORTHRIDGE 91324 8183416844

490 S ROSEMEAD BLVD

SUITE 9

PASADENA 91107 6267960534

1900 WEST GARVEY

AVENUE, S, SUITE 210

WEST COVINA 91790 6269155595

6422 BELLINGHAM STREET

SUITE 210

N HOLLYWOOD 91606 8185096764

5701 SLAUSON AVE #100 CULVER CITY 90230 3102580258

2741 S ROBERTSON BLVD

2ND FLOOR

LOS ANGELES 90034 3105592290

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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12/04/2002

11/05/2002

12/24/2002

01/23/2003

01/06/2003

12/31/2002

01/16/2003

01/09/2003

01/16/2003

10/23/2002

01/27/2003

02/06/2003

02/10/2003

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CA 058163 HYE NURSES HOME HEALTH INC

CA 058164 VISION HOME HEALTH AND HOSPICE CARE,

INC

CA 058165 UNISON HEALTH SERVICES, INC

CA 058166 IMMACULATE HOME HEALTH PROVIDERS

CA 058167 HEALTH CARE SOLUTIONS SERVICES, INC

CA 058170 FIRST CHOICE HOME HEALTH SERVICES,

INC

CA 058172 MC HOME HEALTH SERVICES, INC

CA 058173 LIFESPRING HOME CARE OF BAY AREA

CA 058177 RELY ABLE HOME HEALTH CARE

CA 058180 ANNEX HEALTHCARE PROVIDERS, INC

CA 058181 VANURA HOME HEALTH SERVICES, INC

CA 058183 EXCELLENT CARE HOME HEALTH

SERVICES, INC

CA 058184 HOPE PROFESSIONAL SERVICES, INC

CA 058186 LA HOMECARE PROVIDER INC

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12011 VICTORY BLVD, SUITE

202

N HOLLYWOOD 91606 8185091892

5750 DIVISION STREET,

SUITE 206

RIVERSIDE 92506 9517878903

9120 E VALLEY BLVD ROSEMEAD 91770 6262805575

7340 FLORENCE AVENUE,

SUITE 204

DOWNEY 90240 5628067022

265 S RANDOLPH AVE, SUITE

280

BREA 92821 7146747403

11829 EAST SOUTH STREET,

SUITE 101

CERRITOS 90703 5624031601

18800 AMAR ROAD, SUITE B-

5

WALNUT 91789 6268541450

5976 W LAS POSITAS

BOULEVARD

PLEASANTON 94588 9252759300

331 ARDEN AVENUE SUITE

101

GLENDALE 91203 8182416470

16633 VENTURA BLVD, SUITE

540

ENCINO 91436 8185092661

8213 ROCHESTER AVENUE RANCHO

CUCAMONGA

91730 9099891230

9037 ARROW ROUTE, SUITE

140

RANCHO

CUCAMONGA

91730 9095813536

11731 STERLING AVENUE,

UNIT C

RIVERSIDE 92503 9513519901

1117 VIA VERDE SAN DIMAS 91773 9095990777

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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02/13/2003

03/13/2003

03/14/2003

02/06/2003

03/26/2003

03/04/2003

03/18/2003

04/23/2003

04/24/2003

04/24/2003

04/29/2003

05/21/2003

06/25/2003

07/09/2003

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CA 058188 JOY HEALTH CARE SERVICES

CA 058189 SUTTER VISITING NURSE ASSOCIATION

AND HOSPICE

CA 058190 VICTORY HOME HEALTH AGENCY

CA 058191 ALLSUPREME HOME CARE INC

CA 058291 GENTLE HANDS, INC

CA 058192 HOME CARE PROMINENCE

CA 058194 REMEDY HOME CARE

CA 058195 ST MARY'S HOME HEALTH SERVICES, INC

CA 058198 MULTI-SKILLED HOME CARE SERVICES, INC

CA 058199 EAST BAY HOME HEALTH SERVICES

CA 058200 SUNRISE HOME CARE INC

CA 058201 AGAPE HOME HEALTH SERVICES, INC

CA 058202 L A FAMILY HOME HEALTH INC

CA 058203 HERALDS HOME HEALTH

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11681 STERLING AVENUE RIVERSIDE 92503 9513524400

110 STONY POINT ROAD,

SUITE 200A

SANTA ROSA 95401 7075355600

24490 SUNNYMEAD

BOULEVARD, SUITE 108

MORENO VALLEY 92553 9519245114

13110 W WASHINGTON BLVD LOS ANGELES 90066 3102738616

18331 GRIDLEY ROAD, SUITE

EF

CERRITOS 90703 5628658787

5808 MONTEREY ROAD LOS ANGELES 90042 3233440017

2300 WESTWOOD BLVD

SUITE 102

LOS ANGELES 90064 3104465777

3180 E SHIELDS AVE, #105 FRESNO 93726 5592219919

19608 CAMINO DE ROSA,

SUITE 201

WALNUT 91789 9095950200

1710 PENNSYLVANIA

AVENUE, SUITE E

FAIRFIELD 94533 7074281473

941 S ATLANTIC BLVD, STE

222

MONTEREY PARK 91754 6262894200

1661 HANOVER ROAD SUITE

226

CITY OF INDUSTRY 91748 6265818168

1301 W 2ND STREET, SUITE

206

LOS ANGELES 90026 2134812500

3703 LONG BEACH BLVD,

STE 403

LONG BEACH 90807 5629880395

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Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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07/24/2003

05/20/2003

08/20/2003

07/31/2003

11/20/2004

06/14/2003

08/13/2003

09/23/2003

09/26/2003

10/10/2003

10/20/2003

10/21/2003

10/07/2003

11/04/2003

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CA 058205 ROYAL MAJESTY HOME CARE, INC

CA 058207 LEGACY HEALTH CARE PROVIDERS INC

CA 058210 CRYSTAL HOME HEALTH CARE SERVICES,

INC

CA 058212 EXCELL HOME CARE INC

CA 058213 INTENSIVE HOME HEALTH CARE, INC

CA 058215 FIVE STAR HOME HEALTH, INC

CA 058216 FOCUS HEALTH

CA 058217 BRADBOURNE HEALTHCARE, INC

CA 058218 CONCORD HOME HEALTH CARE

CA 058219 SELECT CARE HEALTH SERVICES INC

CA 058221 MEDCARE HOME HEALTH SERVICES, INC

CA 058222 NU-ERA HOME HEALTH AGENCY, INC

CA 058224 MOTHER THERESA'S HOME HEALTH

SERVICES

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STE 403

3750 SCHAUFELE AVE SUITE

225

LONG BEACH 90808 5624929600

1272 E CENTER COURT DR

SUITE 203

COVINA 91724 6268585611

3939 ATLANTIC AVE SUITE

202

LONG BEACH 90807 5624273690

4201 LONG BEACH BLVD,

STE 101

LONG BEACH 90807 5629883370

21671 GATEWAY CENTER

SUITE 104

DIAMOND BAR 91765 9093968585

8616 LA TIJERA BLVD, #408 LOS ANGELES 90045 3106420026

1503 EAST MARCH LANE,

SUITE A

STOCKTON 95210 2094727005

16029 ARROW HIGHWAY

SUITE A

IRWINDALE 91706 6268140200

424 NORTH LAKE AVENUE

SUITE 202

PASADENA 91101 6267920911

680 WILSHIRE PLACE, SUITE

302

LOS ANGELES 90005 2133893582

14621 TITUS STREET, STE

203

PANORAMA CITY 91402 8187852152

370 AMAPOLA AVENUE,

SUITE 200B

TORRANCE 90501 3109736329

847 N. HOLLYWOOD WAY, #

203

BURBANK 91505 8185059099

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/31/2003

10/28/2003

10/30/2003

10/10/2003

10/23/2003

10/28/2003

12/02/2003

11/26/2003

10/16/2003

11/10/2003

11/24/2003

10/10/2003

11/17/2003

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SERVICES

CA 058226 GIDDA'S HOME HEALTH SERVICES, INC

CA 058227 CORINTHIAN HEALTH CARE SERVICES, INC

CA 058228 STAR HOME HEALTH SERVICES, INC

CA 058230 CARE CENTER HOME HEALTH, INC

CA 058233 COMPASSIONATE CARE HOME HEALTH

AGENCY, LLC

CA 058234 HORIZON HOME HEALTH CARE

CA 058236 XL CARE, INC

CA 058237 SALUS HOME HEALTH

CA 058238 SEA CREST HOME HEALTH SERVICES INC

CA 058239 INLAND HOME HEALTH PROVIDERS INC

CA 058242 SIERRA HOME HEALTHCARE SERVICES,

INC

CA 058243 HOME CARE EXCELLENCE HEALTH

SERVICES, INC

CA 058244 SUN-TRIUNE HEALTHCARE, INC

CA 058245 PRIME CHOICE HOME HEALTH, INC

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203

13351 HAWTHORNE BLVD HAWTHORNE 90250 3106440985

6903 RESEDA BLVD RESEDA 91335 8188818388

8900 BENSON AVENUE SUITE

F1

MONTCLAIR 91763 9099200675

14762 BEACH BLVD LA MIRADA 90638 7145620090

7545 N DEL MAR AVENUE,

SUITE 103

FRESNO 93711 5594322003

85 MORAGA WAY, SUITE 200 ORINDA 94563 9252589101

17555 VENTURA BLVD SUITE

201

ENCINO 91316 8187852944

17100 PIONEER BLVD, SUITE

310

ARTESIA 90701 5628886363

2755 BRISTOL STREET,

SUITE 275

COSTA MESA 92626 7149758011

9221 ARCHIBALD AVENUE RANCHO

CUCAMONGA

91730 9099488731

1063 N CHICAGO ST LOS ANGELES 90033 3232221235

10900 E 183RD STREET

SUITE 190

CERRITOS 90703 5628603424

3660 WILSHIRE BLVD SUITE

944

LOS ANGELES 90010 2136321445

12611 HIDDENCREEK WAY,

SUITE I

CERRITOS 90703 8182860060

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Proprietary

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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11/10/2003

12/12/2003

12/18/2003

11/12/2003

12/23/2003

12/31/2003

01/26/2004

01/08/2004

03/10/2004

01/30/2004

01/08/2004

12/12/2003

12/03/2003

01/23/2004

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Page 177: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 058246 INFINITY HOME CARE PROVIDERS, INC

CA 058247 BLUE STAR HOME HEALTH INC

CA 058248 HEALTHWISE HOME CARE SOLUTIONS INC

CA 058250 INTERNATIONAL HOME HEALTH CARE, INC

CA 058252 TEA HEALTHCARE SERVICES INC

CA 058253 ALLEGIANCE HOME HEALTH, INC

CA 058255 N & D HEALTHCARE SERVICES INC

CA 058256 ALL CARE ENTERPRISES, INC

CA 058258 QUINCY HOME MEDICAL SERVICES

CA 058259 HOLY ANGEL HOME HEALTH CARE, INC

CA 058292 HEALTHCARE CALIFORNIA

CA 058261 HIGHMARK HOME HEALTH, INC

CA 058262 GOLDEN AGE HOME HEALTHCARE, INC

CA 058263 DESTINY HOME HEALTH AGENCY, INC

CA 058264 AMERICAN HEALTH ASSOCIATES, INC

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SUITE I

9350 FLAIR DRIVE, SUITE 268 EL MONTE 91731 6262270220

20953 DEVONSHIRE BLVD

SUITE 3

CHATSWORTH 91311 8187727600

1100 N VENTURA RD STE 102 OXNARD 93030 8059830086

3660 WILSHIRE BLVD SUITE

842

LOS ANGELES 90010 2133846731

1025 W SAN BERNANDINO

RD

COVINA 91722 6269627921

801 S GARFIELD AVE #238 ALHAMBRA 91801 6269615750

17800 CASTLETON STREET,

SUITE 318

CITY OF INDUSTRY 91748 6268105828

1225 WEST 190TH STREET,

SUITE 260

GARDENA 90248 3107681600

211 LAWRENCE STREET QUINCY 95971 5303947998

3470 WILSHIRE BLVD, SUITE

641 - 642

LOS ANGELES 90010 2133802280

5709 N WEST FRESNO 93711 5592439990

2707 E VALLEY BLVD, SUITE

209

WEST COVINA 91792 6268101957

9029 RESEDA BLVD, SUITE

101

NORTHRIDGE 91324 8187184680

12370 PERRIS BLVD MORENO VALLEY 92557 9512421365

930 OAK STREET BAKERSFIELD 93304 6618611478

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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02/27/2004

04/10/2004

04/07/2004

04/01/2004

04/28/2004

12/13/2003

04/30/2004

12/11/2003

06/02/2004

05/15/2004

03/30/2005

06/09/2004

07/19/2004

06/17/2004

08/02/2004

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CA 058265 HOME REHABILITATION HEALTH CARE

AGENCY

CA 058266 CITYWIDE HOME CARE, INC

CA 058267 FAMILY HOME HEALTH CARE, INC

CA 058268 AMITY HOME HEALTH, INC

CA 058269 GREEN VALLEY HOME HEALTH SERVICES,

INC

CA 058270 TRUST HOME HEALTH CARE, INC

CA 058273 CENTRAL HOME HEALTH CARE, INC

CA 058274 ROYALE HOME HEALTH CARE, INC

CA 058277 GRANDCARE HOME HEALTH SERVICES

CA 058278 VN HOME HEALTH CARE

CA 058279 ANGEL CARE HOME HEALTH, INC

CA 058280 SMART CARE LINK, INC

CA 058281 RENAISSANCE HOME HEALTH

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644 E REGENT ST UNIT 101 INGLEWOOD 90301 3106774400

301 E GLENOAKS BLVD,

SUITE 4

GLENDALE 91207 8185029151

4201 WILSHIRE BLVD SUITE

518

LOS ANGELES 90010 3239355200

17042 DEVONSHIRE STREET,

SUITE 220

NORTHRIDGE 91325 8188318270

19031 HIGHWAY 18 SUITE 180 APPLE VALLEY 92308 7602427009

4430 SANTA MONICA BLVD LOS ANGELES 90029 8189800505

1016 E BROADWAY STREET,

STE 205

GLENDALE 91205 8185001254

221 N SAN DIMAS AVE, SUITE

B

SAN DIMAS 91773 9093940331

2555 E. COLORADO BLVD,

STE 400A

PASADENA 91107 8182448446

2528 QUME DRIVE, #7 SAN JOSE 95131 4089980550

850 COLORADO BLVD SUITE

103

LOS ANGELES 90041 8182488811

2525 E COLORADO BLVD,

SUITE 104

PASADENA 91107 6263561927

3160 CAMINO DEL RIO

SOUTH STE 312

SAN DIEGO 92108 6192851505

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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05/06/2004

05/21/2004

07/16/2004

06/30/2004

08/03/2004

08/09/2004

08/27/2004

10/07/2004

07/17/2004

10/29/2004

09/02/2004

06/28/2004

11/03/2004

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CA 058282 SERENITY HEALTH CARE, INC

CA 058283 MAJESTY HOME HEALTH

CA 058284 MADISON HOME HEALTH CARE

CA 058285 CARING LIKE FAMILY INC

CA 058286 PROVIDENT HOME HEALTH, INC

CA 058287 NIGHTINGALE HOME CARE INC

CA 058288 ST MARTIN HOME HEALTHCARE

CA 058289 ASAP HOME HEALTH SERVICE

CA 058290 EXCELLENCE HOME HEALTH CARE

AGENCY INC

CA 058293 PEOPLE'S CARE HOME HEALTH INC

CA 058294 OUTREACH HOME HEALTH SERVICES, INC

CA 058296 EXCEL CARE HOME HEALTH SERVICES INC

CA 058297 CNE HOME HEALTH SERVICES, INC

CA 058298 TRUE CARE HOME HEALTH AGENCY, INC

CA 058299 GUARDIAN ANGEL HOME HEALTH AGENCY

INC

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1139 S GRAND AVENUE GLENDORA 91740 6269148481

18527 ROSCOE BLVD NORTHRIDGE 91324 8187759447

3740 LONG BEACH BLVD,

SUITE 201

LONG BEACH 90807 5624268090

4223 GLENCOE AVE SUITE B

107

MARINA DEL REY 90292 3103954788

725 EAST BROADWAY, SUITE

201

GLENDALE 91205 8182419500

4579 MAPLE AVENUE, SUITE

2 & 4

LA MESA 91941 6193371888

13791 ROSWELL AVENUE

SUITE E

CHINO 91710 9096270408

602-C COMMERCE DRIVE PALMDALE 93551 6612740800

11760 CENTRAL AVENUE

SUITE 200

CHINO 91710 9095911731

13920 CITY CENTER DRIVE,

SUITE 230B

CHINO HILLS 91709 9093640339

1170 N. DURFEE AVE., STE. J EL MONTE 91733 6266180448

222 N MOUNTAIN AVENUE

SUITE 104

UPLAND 91786 9095796688

4393 TYLER STREET RIVERSIDE 92503 9513514263

1755 HUNTINGTON DRIVE

SUITE 201

DUARTE 91010 6263010710

980 ENCHANTED WAY, SUITE

#206

SIMI VALLEY 93063 8055810244

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Government - State/ County

Proprietary

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03/18/2005

11/17/2004

11/17/2004

10/29/2004

08/18/2004

02/28/2005

11/24/2004

06/30/2004

11/29/2004

03/23/2005

02/23/2005

11/28/2004

11/23/2004

02/15/2005

04/28/2005

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INC

CA 058300 INFINITE HOME HEALTH INC

CA 058301 ENHANCEDCARE HOME HEALTH

CA 058303 MONTROSE HOME HEALTHCARE, INC

CA 058304 OSO HOME CARE, INC

CA 058307 ALLIANCE HOME HEALTH, A SUTTER CARE

AT HOME AFFILI

CA 058309 NOVA SKILLED HOME HEALTH, INC

CA 058310 HOLLYWOOD HOME HEALTH SERVICES

CA 058313 A'S HOME HEALTH CARE, INC

CA 058314 EDEN HOME HEALTH

CA 058315 AMERICAN CAREQUEST

CA 058334 LAVANDA HOME HEALTH CARE AGENCY,

INC

CA 058318 MAXIM HEALTHCARE SERVICES, INC

CA 058319 TWINS QUALITY HOME HEALTH CARE, INC

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#206

875 S WESTLAKE BLVD,

SUITE #205

WESTLAKE VILLAGE 91361 8054971777

821 SOUTH GARFIELD AVE,

#203

ALHAMBRA 91801 6265706760

230 N MARYLAND AVENUE,

SUITE 104

GLENDALE 91206 8185450211

17175 GILLETTE AVENUE IRVINE 92614 9496607126

19045 PORTOLA DRIVE,

SUITE B

SALINAS 93908 8314558901

8111 BEVERLY BLVD SUITE

306

LOS ANGELES 90048 3236586232

4640 LANKERSHIM BLVD, STE

100

N HOLLYWOOD 91602 3236623731

11030 ARROW ROUTE, SUITE

202

RANCHO

CUCAMONGA

91730 9094659023

9299 E STOCKTON BLVD,

SUITE 10

ELK GROVE 95624 9166814949

1426 FILLMORE STREET #210 SAN FRANCISCO 94115 4158859100

3033 N AVON STREET SUITE

A

BURBANK 91504 8188400003

1050 FULTON AVE, SUITE,

230

SACRAMENTO 95825 9169742599

1741 GARDENA AVENUE

SUITE A

GLENDALE 91204 8182655088

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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05/26/2005

05/11/2005

05/09/2005

02/22/2005

08/19/2005

08/04/2005

09/17/2005

10/25/2005

11/21/2005

02/17/2006

06/16/2006

01/20/2006

12/22/2005

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CA 058321 COMPREHENSIVE HEALTH CARE, INC

CA 058322 STAR CARE HOME HEALTH, INC

CA 058323 MAXIM HEALTHCARE SERVICES, INC

CA 058324 ASSISTED HEALTHCARE SERVICES

CA 058325 TOTAL CARE HOME HEALTH AGENCY

CA 058326 ASPIRE HOME HEALTHCARE

CA 058327 BALANCED LIVING, A HOME HEALTH

AGENCY, INC

CA 058330 DIVINE HOME HEALTH, INC

CA 058332 PROFESSIONAL CARE HOME HEALTH

SERVICES INC

CA 058335 HOLLYWOOD HOME HEALTH SERVICES,

INC

CA 058336 MAXIM HEALTHCARE SERVICES INC

CA 058340 CONSTANT CARE HOME HEALTH AGENCY,

INC

CA 058341 APEX HOME HEALTH CARE SERVICES

CA 058342 RC HOME HEALTHCARE INC

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3540 WILSHIRE BLVD, STE

715

LOS ANGELES 90010 2133894876

10117 SEPULVEDA BLVD,

STE 203

MISSION HILLS 91345 8188945201

6051 N FRESNO STREET,

SUITE 102

FRESNO 93710 5592249078

302 N MILPAS STREET, SUITE

#101

SANTA BARBARA 93101 8055692000

7130 MAGNOLIA AVENUE

SUITE A

RIVERSIDE 92504 9517880202

5830 OBERLIN DRIVE, SUITE

200

SAN DIEGO 92121 8587559600

49 E HUNTINGTON DRIVE ARCADIA 91006 6268210822

14625 CARMENITA ROAD

SUITE 228

NORWALK 90650 5624070288

1720 E LOS ANGELES AVE

STES 213-215

SIMI VALLEY 93065 8055770189

1253 NORTH VINE STREET

SUITE 20

LOS ANGELES 90038 3234666900

23421 SOUTH POINTE DRIVE,

SUITE 200

LAGUNA HILLS 92653 9497704994

1612 N VICTORY BLVD GLENDALE 91201 8182461133

8381 KATELLA AVE, SUITE I STANTON 90680 7145270887

600 N MOUNTAIN AVENUE UPLAND 91786 9093731626

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/12/2004

01/18/2006

04/10/2006

04/20/2006

03/15/2006

04/27/2006

04/11/2006

02/01/2006

03/29/2006

03/30/2006

08/18/2006

06/14/2006

08/10/2006

11/01/2006

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CA 058343 SERENE HOME HEALTH

CA 058344 GOLDEN HILLS HEALTHCARE SERVICES,

INC

CA 058345 GRANDCARE SAN DIEGO LLC

CA 058346 HIGH QUALITY HOME HEALTH AGENCY, INC

CA 058347 METRO CARE HOME HEALTH SERVICES INC

CA 058351 CALCARE HOME HEALTH INC

CA 058352 MAXIM HEALTHCARE SERVICES INC

CA 058353 OUR LADY OF REFUGE HOME CARE, INC

CA 058354 FOCUS HEALTH

CA 058355 ADVANTAGE HEALTH SYSTEMS

CA 058359 GEMINI HOME HEALTH, INC

CA 058360 SILVER AGE HOME HEALTH CARE AGENCY

INC

CA 058361 APEXCARE HOME HEALTH

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STE B202

22151 VENTURA BLVD SUITE

203

WOODLAND HILLS 91364 8188887007

207 W ALAMEDA AVE SUITE

203

BURBANK 91502 8188428262

2535 CAMINO DEL RIO

SOUTH, SUITE 120

SAN DIEGO 92108 6192206980

4201 WILSHIRE BLVD, SUITE

210

LOS ANGELES 90010 3239548102

9620 CENTER AVENUE SUITE

180

RANCHO

CUCAMONGA

91730 9099875777

1915 ERVILLA PLACE POMONA 91767 5628658600

500 ESPLANADE DRIVE,

SUITE #660

OXNARD 93036 8059812883

4000 W MAGNOLIA BLVD,

SUITE K

BURBANK 91505 8185587400

1245 S WINCHESTER

BOULEVARD, SUITE 203

SAN JOSE 95128 4087251840

9663 TIERRA GRANDE

STREET, STE 101

SAN DIEGO 92126 8584330469

250 W FIRST ST, SUITE 204 CLAREMONT 91711 9096240341

520 SOUTH LAFAYETTE

PARK EAST SUITE 100-B

LOS ANGELES 90057 2133855788

20301 VENTURA BLVD SUITE

351

WOODLAND HILLS 91364 8187048733

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03/26/2006

03/30/2006

12/20/2006

12/05/2006

11/09/2006

11/11/2006

02/09/2007

09/09/2006

02/26/2007

12/26/2006

05/16/2006

03/05/2007

03/30/2007

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Page 225: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 058363 ABSOLUTE HOME HEALTH AGENCY, INC

CA 058365 QUEST HOME HEALTH SERVICES, INC

CA 058366 ACCESS TLC HOME HEALTH CARE

CA 058367 UNITED INTEGRITY HOME HEALTH INC

CA 058368 INFINITE HOME HEALTH, INC

CA 058370 CARE DIMENSIONS LLC

CA 058387 R & A HOME HEALTH SERVICES, INC

CA 058373 PREMIERE HOME HEALTH, INC

CA 058374 HEMET HOME HEALTH CARE

CA 058375 UNITED CARE HOME HEALTHCARE

AGENCY, INC

CA 058376 ORANGE COUNTY CARE PROVIDERS, INC

CA 058377 NEW CENTURY HOME HEALTH, INC

CA 058378 IDEAL CARE HOME HEALTH, INC

CA 058379 GOLDEN HEART HOME HEALTH CARE

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1554 S SEPULVEDA BLVD

SUITE 109

LOS ANGELES 90025 3236349585

10660 WHITE OAK AVE, STE

200

GRANADA HILLS 91344 8189935200

18747 SHERMAN WAY, STE

104

RESEDA 91335 8185511900

12900-A GARDEN GROVE

BLVD, SUITE 116

GARDEN GROVE 92843 7145395249

22151 VENTURA BLVD, SUITE

201

WOODLAND HILLS 91364 8186090999

16162 BEACH BLVD. SUITE

#100

HUNTINGTON BEACH 92647 7146198766

600 WEST BROADWAY SUITE

210

GLENDALE 91204 8189568888

2225 W COMMONWEALTH

AVENUE, SUITE 306

ALHAMBRA 91803 6262814088

233 SOUTH CARMALITA HEMET 92543 9517669966

16921 PARTHENIA ST, STE

303A

NORTH HILLS 91343 8188923040

20110 PIONEER BLVD SUITES

E & F

CERRITOS 90703 7149945210

15600 DEVONSHIRE ST, STE

204

GRANADA HILLS 91344 8188926400

21021 DEVONSHIRE STREET,

SUITE 203

CHATSWORTH 91311 8188821178

3539 OCEAN VIEW BLVD, GLENDALE 91208 8189570009

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

Proprietary

Proprietary

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Proprietary

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03/28/2007

02/27/2007

04/01/2007

04/13/2007

02/26/2007

02/28/2007

08/23/2007

03/28/2007

06/21/2007

03/30/2007

03/29/2007

05/25/2007

06/27/2007

04/14/2007

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CA 058381 COMFORT HANDS HEALTHCARE INC

CA 058382 NURSES TOUCH HOME HEALTH PROVIDER,

INC

CA 058384 HANNAH HOME HEALTH, INC

CA 058385 ST LUKE'S HOME HEALTH SERVICES, INC

CA 058386 SHEPHERD HOME HEALTH CARE, INC

CA 058388 CVH HOME HEALTH SERVICES

CA 058389 PACIFIC HOME HEALTH CARE

CA 058390 LIFECARE HOME HEALTH SERVICES, INC

CA 058391 BRAEWOOD HOME HEALTH INC

CA 058392 CALIPSO HOME HEALTH CARE INC

CA 058393 MULTICARE INTERNATIONAL HOME HEALTH

AGENCY, INC

CA 058394 SENIOR HOME HEALTH CARE, INC

CA 058395 PACIFIC HOME HEALTH CARE, INC

CA 058396 BRIGHT CARE HOME HEALTH, INC

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SUITE 1

792 MERIDIAN WAY SAN JOSE 95126 4084410522

135 S JACKSON ST SUITE 100 GLENDALE 91205 8185004877

5768 WEST PICO BLVD, STE

204

LOS ANGELES 90019 3239366484

5721 LINCOLN AVE, UNIT P CYPRESS 90630 7144844628

8383 WILSHIRE BLVD SUITE

527

BEVERLY HILLS 90211 3239328851

2410 CAMINO RAMON, SUITE

331

SAN RAMON 94583 5106901930

146 N SAN FERNANDO BLVD,

UNIT 220

BURBANK 91502 8185577740

540 E FOOTHILL BLVD SUITE

200

SAN DIMAS 91773 6269646204

816 CAMARILLO SPRINGS

ROAD SUITE N

CAMARILLO 93011 8059878889

16909 PARTHENIA ST., STE.

205

NORTHRIDGE 91343 8183850030

7320 FIRESTONE BLVD, STE

212

DOWNEY 90241 5627763611

14557 FRIAR ST, STE A3 VAN NUYS 91411 8182445015

8855 EAST VALLEY BLVD,

SUITE 208

ROSEMEAD 91770 6262915388

3925 ROSEMEAD BLVD, STE ROSEMEAD 91770 6262859698

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

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09/04/2007

08/21/2007

07/10/2007

08/17/2007

08/07/2007

07/11/2007

04/25/2007

07/11/2007

09/20/2007

05/25/2007

09/10/2007

09/10/2007

09/27/2007

08/23/2007

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CA 058397 MOBILITY HOME HEALTH SERVICES, INC

CA 058398 WESTSIDE HOME HEALTH, INC.

CA 059076 BONUM HOME HEALTH SERVICES

CA 058399 SHANT HOME HEALTH CARE

CA 058400 RIGHTCARE HOME HEALTH SERVICES, INC

CA 058401 LE MEILLEUR HEALTH CARE SERVICES, INC

CA 058402 COVENANT HOME HEALTH OF CALIFORNIA

CA 058403 CALIFORNIA HOME HEALTH SPECIALIST,

INC

CA 058405 ALLIED HEALTHCARE PROFESSIONALS INC

CA 058406 PATIENTS FIRST HOME HEALTH AGENCY,

INC

CA 058407 ELEVATE HEALTH

CA 058408 GREEN PINE HOME HEALTHCARE

SERVICES, INC

CA 058409 ABLE HANDS HOME HEALTH CARE

CA 058410 AAA HOME HEALTH SERVICES, INC

CA 058411 ROYAL HEALTH HOMECARE AGENCY, INC

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205A

22148 SHERMAN WAY, STE

206

CANOGA PARK 91303 8187722910

3171 LOS FELIZ BLVD., STE.

212-A

LOS ANGELES 90039 3236449814

2000 W MAGNOLIA, SUITE

206

BURBANK 91506 8185563711

6033 WOODMAN AVE VAN NUYS 91401 8187829123

600 W. BROADWAY, STE. 110 GLENDALE 91204 8185508668

15919 EAST MAIN STREET LA PUENTE 91744 6263693335

1217 BUENA VISTA ST, STE

103-C

DUARTE 91010 6263320900

18856 AMAR ROAD, SUITE 12 WALNUT 91789 6269652711

61 LONG COURT, SUITE #110 THOUSAND OAKS 91360 8054962680

23210 S CRENSHAW BLVD,

SUITE 200

TORRANCE 90505 3105348689

201 COVINA AVE, SUITE 3 LONG BEACH 90803 8008801405

1740 NEW AVENUE SUITE 101 SAN GABRIEL 91776 6265733332

18780 AMAR RD SUITE 207 WALNUT 91789 6269652233

150 E OLIVE AVE, STE 209 BURBANK 91502 8182440698

1272 CENTER COURT DRIVE,

SUITE 204/205

COVINA 91724 8185075300

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

Proprietary

Proprietary

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08/10/2007

09/25/2007

08/13/2009

09/21/2007

05/08/2007

11/03/2007

10/29/2007

11/12/2007

12/10/2007

08/22/2007

10/08/2007

10/05/2007

09/13/2007

11/27/2007

10/30/2007

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CA 058412 PREFERRED HOME HEALTH PROVIDER INC

CA 058414 SUNSHINE HOME HEALTH SERVICES, INC

CA 058415 PROHEALTH HOME CARE, INC

CA 058416 A-1 HOME HEALTH CARE

CA 058417 HOME HEALTH CARE SOLUTIONS, INC

CA 058421 GLOBAL HOME HEALTH, INC

CA 058422 SPECIALIZED HOME HEALTH SERVICES

CA 058423 SUPERIOR HOME HEALTH CARE SERVICES,

INC

CA 058424 CARETECH HOME HEALTH, INC

CA 058425 WARM SPRINGS HOME HEALTH, INC

CA 058426 ADVANCED HOME HEALTH, INC

CA 058427 HOME CARE OF AMERICA, INC

CA 058428 GOODWILL PLUS, INC

CA 058429 DEDICATED HOME HEALTH AGENCY

CA 058431 ROYAL HOME CARE INC

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SUITE 204/205

8560 VINEYARD AVENUE

SUITE 505

RANCHO

CUCAMONGA

91730 9099809518

3336 S ROBERTSON BLVD LOS ANGELES 90034 3105587061

2700 ZANKER ROAD, SUITE

180

SAN JOSE 95134 4084519055

5011 ARGOSY AVE, #5 HUNTINGTON BEACH 92649 7143758900

9007 ARROW ROUTE, SUITE

100

RANCHO

CUCAMONGA

91730 9093730637

515 N VICTORY BLVD BURBANK 91502 8185089911

1540 W GLENOAKS BLVD

SUITE 104

GLENDALE 91201 8185003929

555 NORTH BENSON AVE

STE B

UPLAND 91786 9099460186

5252 ORANGE AVE, #101 CYPRESS 90630 7144847828

54 WHITNEY PLACE FREMONT 94539 5104906988

4370 AUBURN BLVD SACRAMENTO 95841 9169780744

2530 W WHITTIER BLVD

SUITE 8

LA HABRA 90631 5624513906

233 E POMONA BLVD MONTEREY PARK 91755 3237257620

133 N. ALTADENA DRIVE,

SUITE 430

PASADENA 91107 6268441880

870 HAMPSHIRE RD STE P WESTLAKE VILLAGE 91361 8052303033

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Proprietary

Proprietary

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Proprietary

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Proprietary

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Proprietary

Proprietary

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Proprietary

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10/23/2007

11/21/2007

12/21/2007

12/13/2007

09/13/2007

10/29/2007

11/04/2007

11/15/2007

02/05/2008

11/08/2007

02/12/2008

02/14/2008

10/17/2007

09/10/2007

02/01/2008

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CA 058432 PLEXUS HEALTH CARE INC

CA 058433 ER HOME HEALTH, INC

CA 058434 GENTLE CARE, INC

CA 058436 INLAND VALLEY HOME HEALTH AGENCY

CA 058437 ACTIVE HOME HEALTH SVC., INC

CA 058438 KINDNESS CARE HOME HEALTH

CA 058439 CELEBRITY HOMECARE

CA 058441 ACCESS HOME HEALTH CARE, INC

CA 058442 SUMMIT HOME HEALTH INC

CA 058443 BEST CARE HOME HEALTH AGENCY

CA 058444 PROFESSIONAL HOME CARE SERVICE

CA 058445 ART HOME HEALTH CARE, INC

CA 058446 HOME HEALTH CARE DYNASTY

CA 058447 HERITAGE HOME HEALTH, INC

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7365 CARNELIAN STREET

SUITE 116A

RANCHO

CUCAMONGA

91730 9096087566

433 NORTH 4TH STREET,

#202

MONTEBELLO 90640 3238872883

3701 STOCKER STREET

SUITE 106

LOS ANGELES 90008 3232950047

5050 PALO VERDE STREET

SUITE 209

MONTCLAIR 91763 9096268221

6481 ORANGETHORPE AVE

STE 3

BUENA PARK 90620 7149941534

2530 REDHILL AVENUE,

SUITE 120

SANTA ANA 92705 9497779500

521 N MOUNTAIN AVENUE UPLAND 91786 9099313888

18780 AMAR ROAD, SUITE

201

WALNUT 91789 6269652084

2139 TAPO ST STE 210 SIMI VALLEY 93063 8055843000

3451 TORRANCE BLVD,

SUITE 203

TORRANCE 90503 3105402637

14328 VICTORY BLVD UNIT

D&E

VAN NUYS 91401 8187854270

6400 CANOGA AVE, STE 200 WOODLAND HILLS 91367 8186090303

4640 LANKERSHIM BLVD, STE

301

N HOLLYWOOD 91602 8185065553

18645 SHERMAN WAY, SUITE

208

RESEDA 91335 8187571300

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09/28/2007

02/11/2008

01/11/2008

01/31/2008

08/14/2007

10/05/2007

02/07/2008

02/11/2008

04/03/2008

02/20/2008

02/24/2008

02/08/2008

03/24/2008

03/21/2008

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CA 058448 ADVANCED HOME HEALTH CARE

CA 058449 STARBRIGHT HOME HEALTH SERVICES

CA 058450 NURSE RESOURCE HOME HEALTH, INC

CA 058451 FAMILY HOME HEALTH AGENCY, LLC

CA 058452 HEAVENLY HOME HEALTHCARE, INC

CA 058453 WHITE SHIELD HOME HEALTH CARE

SERVICES

CA 058454 FAMILY HEALTH SERVICES, INC

CA 058455 L A CARE PROVIDER

CA 058456 L A METROPOLITAN HOME HEALTH,

INCORPORATION

CA 058457 GUARDIAN ANGEL HOME CARE, INC

CA 058458 MEDIA HOME HEALTH

CA 058459 SUPPORTIVE HOME HEALTH CARE CORP

CA 058460 WESCARE HOME HEALTH PROVIDERS INC

CA 058461 HEALTHNET HOME CARE SERVICES, INC

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123 S JACKSON STREET GLENDALE 91205 8189379251

1633 ERRINGER RD STE 201A SIMI VALLEY 93065 8055822272

535 N BRAND BLVD, SUITE

200

GLENDALE 91203 8182406744

411 E HUNTINGTON DRIVE

SUITE 210

ARCADIA 91006 6264468500

4430 SANTA MONICA, STE

201

LOS ANGELES 90029 3238995522

331 ARDEN STREET SUITE

200

GLENDALE 91203 8182417404

7136 HASKELL AVENUE,

SUITE 108

VAN NUYS 91406 8187801355

11850 WILSHIRE BLVD, STE

102

LOS ANGELES 90025 3104788400

17100 PIONEER BLVD, SUITE

313

ARTESIA 90701 5622460770

3505 CAMINO DEL RIO

SOUTH, SUITE 220

SAN DIEGO 92108 6196404383

225 E BROADWAY SUITE 111 GLENDALE 91205 8669993840

4520 WILSHIRE BLVD, SUITE

203

LOS ANGELES 90010 2133831188

16921 PARTHENIA STREET,

SUITE 304

NORTH HILLS 91343 8186728808

2025 N GLENOAKS BLVD

SUITE 203

BURBANK 91504 8188468483

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Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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02/27/2008

03/31/2008

03/31/2008

04/01/2008

03/12/2008

04/09/2008

03/10/2008

03/31/2008

03/21/2008

03/06/2008

02/23/2008

03/05/2008

10/19/2007

03/20/2008

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CA 058463 CITY OF ANGELS BEST CARE, INC

CA 058465 L P G HEALTH CARE, INC

CA 058466 ADVENT HEALTHCARE SERVICES, INC

CA 058467 EGIDA HOME HEALTH CARE, INC

CA 058468 PARADISE HOME HEALTH CARE SERVICES,

INC.

CA 058469 A AND E HOME HEALTH SERVICES, INC

CA 058470 CARE DIMENSIONS

CA 058473 AAA HOME HEALTH CARE INC

CA 058475 BLUE SKY HOME HEALTH, INC

CA 058476 DUHANEY HOME HEALTH CARE, INC

CA 058477 GIBRALTAR HOME HEALTH SERVICES LLC

CA 058478 FOREVER CARING HOME HEALTH

SERVICES, INC

CA 058479 VISION HOME HEALTH CARE

CA 058480 HOLLYWOOD HEALTH SERVICES, INC

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1711 W TEMPLE STREET,

SUITE 6679

LOS ANGELES 90026 2134841530

11360 VENTURA BLVD STUDIO CITY 91604 8185473335

3333 S BREA CANYON RD,

STE 123

DIAMOND BAR 91765 9098392511

1007 S CENTRAL AVE, SUITE

210

GLENDALE 91204 8182423536

12509 OXNARD STREET,

SUITE 212P

NORTH HOLLYWOOD 91606 8185060471

2377 W FOOTHILL BLVD

SUITE 14

UPLAND 91786 9099462232

155 N LAKE AVE, SUITE 800 PASADENA 91101 6262624444

995 E LOS ANGELES

AVENUE, SUITE #4

SIMI VALLEY 93065 8055810640

6450 BELLINGHAM AVENUE,

SUITE A

NORTH HOLLYWOOD 91606 8187541000

360 N SEPULVEDA BLVD

SUITE 1048

EL SEGUNDO 90245 3104161160

27001 AGOURA ROAD, SUITE

170

CALABASAS 91301 8188808600

3756 SANTA ROSALIA DR,

SUITE 520

LOS ANGELES 90008 3232937072

39899 BALENTINE DRIVE,

SUITE 115

NEWARK 94560 5107951632

2117 N LAKE AVENUE, UNIT

101

ALTADENA 91001 3234647905

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Proprietary

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Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

Proprietary

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05/07/2008

02/09/2008

02/14/2008

06/02/2008

06/09/2008

03/28/2008

04/03/2008

05/29/2008

06/11/2008

07/29/2008

07/22/2008

06/12/2008

05/19/2008

06/04/2008

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CA 058481 MBC HOME HEALTH SERVICES, INC.

CA 058483 HOLY INFANT HOME CARE, INC

CA 059000 MIRACLE HOME HEALTH CARE, INC

CA 059001 GREATER HOME HEALTH CARE

INCORPORATED

CA 059115 WILSHIRE HOME HEALTH, INC

CA 058484 EFFICIENT HOME HEALTH SERVICES, INC

CA 058485 HOMEBOUND HEALTH CARE SERVICES

CA 058486 ST BERNARDINE CARE PROVIDERS INC

CA 058487 AMERICAN DREAM HOME HEALTH CARE,

INC

CA 058491 DIVINE CARE HOME HEALTH SERVICES INC

CA 058492 ST CLAIRE'S HOME HEALTH

CA 058493 ALPHA PLUS HOME HEALTH SERVICES

CA 058494 PURITY HOME HEALTH SERVICES

CA 058496 SEQUOIA HOME HEALTH

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101

2777 W BROADWAY LOS ANGELES 90041 3232545399

791 MARYLIND AVE CLAREMONT 91711 9096039312

5670 WILSHIRE BLVD, SUITE

1600

LOS ANGELES 90036 3237823883

2400 W CARSON ST SUITE

235

TORRANCE 90501 3107871731

3450 WILSHIRE BLVD # 1126 LOS ANGELES 90010 2133896557

8925 SEPULVEDA BLVD,

SUITE 201

NORTH HILLS 91343 8188915114

10515 BALBOA BLVD, SUITE

355

GRANADA HILLS 91344 8183680153

18064 WIKA ROAD, SUITE

#201

APPLE VALLEY 92307 7602426720

5655 LINDERO CANYON

ROAD, SUITE 302

WESTLAKE VILLAGE 91362 8187078999

1985 YOSEMITE AVENUE,

SUITE 250

SIMI VALLEY 93063 8055789481

27171 CALAROGA AVENUE,

SUITE 12

HAYWARD 94545 5108874400

7227 BROADWAY, SUITE 201 LEMON GROVE 91945 6193370955

12631 E IMPERIAL HIGHWAY,

STE D-118

SANTA FE SPRINGS 90670 5628635652

830 HILLVIEW COURT, SUITE

225

MILPITAS 95035 5107391992

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Proprietary

Proprietary

Government - State/ County

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

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06/26/2008

06/30/2008

10/16/2008

09/10/2008

11/10/2009

06/10/2008

06/26/2008

07/22/2008

02/13/2008

09/22/2008

10/30/2008

10/24/2008

09/24/2008

10/20/2008

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CA 058497 ASSUMPTION HOME CARE, INC

CA 058498 SUPERIOR HOME HEALTH SERVICES, INC.

CA 058499 GOOD SPIRIT HOME HEALTH SERVICES,

INC

CA 059002 ACKNOWLEDGE HOME HEALTH, INC

CA 059003 WEST COAST NURSING VENTURA INC

CA 059004 NEW BEGINNINGS HOME HEALTH CARE,

INC

CA 059005 OPTIMA HEALTH CARE, INC

CA 059006 ARCHANGEL HOME HEALTH, INC

CA 059007 THE DOCTOR'S CHOICE AGENCY

CA 059008 RAINBOW HOME HEALTH CARE AGENCY,

INC

CA 059009 ST JOSEPH HOME HEALTH

CA 059010 CENTRAL COAST HOME HEALTH INC

CA 059011 APEX HOME HEALTH CARE, INC

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225

11750 STERLING AVENUE,

SUITE #C

RIVERSIDE 92503 9516378752

7352 FOOTHILL BLVD, STE

102

TUJUNGA 91042 8189579991

8322 BEVERLY BLVD, # 305 LOS ANGELES 90048 8182448700

3415 S SEPULVEDA BLVD,

SUITE 205

LOS ANGELES 90034 3103971405

2955 E HILLCREST DR STE

121

THOUSAND OAKS 91362 8054960900

5300 SANTA MONICA BLVD,

SUITE 304

LOS ANGELES 90029 3234606000

4532 RINETTI LANE LA CANADA 91011 8185076957

16446 WOODRUFF AVENUE,

SUITE A

BELLFLOWER 90706 5628617047

6222 WILSHIRE BLVD, SUITE

515

LOS ANGELES 90048 8558570797

19401 S VERMONT AVENUE,

SUITE E101

TORRANCE 90502 3105155599

1525 MCCARTHY BLVD,

SUITE 208

MILPITAS 95035 4082445488

253 GRANADA DR STE D SAN LUIS OBISPO 93401 8055432244

1619 1/2 VICTORY

BOULEVARD

GLENDALE 91201 8185007167

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

Proprietary

Proprietary

Proprietary

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06/06/2008

07/10/2008

08/14/2008

06/27/2008

11/19/2008

09/27/2008

10/24/2008

09/26/2008

10/31/2008

06/09/2008

02/18/2009

01/16/2009

11/12/2008

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CA 059012 A TO Z HOME HEALTH, INC

CA 059013 QUALITY FIRST HOME HEALTH CARE

CA 059046 CALIFORNIA'S BEST HOME HEALTH

SERVICES, INC

CA 059047 SILVER LINING HOME HEALTH CARE

SERVICES

CA 059156 DYNAMIC HOME HEALTH

CA 059014 GENUS HOME CARE OF SAN BERNARDINO

CA 059015 TRIUNE HOME HEALTH PROVIDER, INC

CA 059016 HEALTH LINK HOME HEALTH AGENCY

CA 059017 HEAVEN HOME HEALTH CARE, INC

CA 059018 WELLNESS HOME HEALTH CARE INC

CA 059019 RAE STAR HEALTH SYSTEMS, INC

CA 059020 BRIO HOME HEALTH SERVICES, INC

CA 059021 CARDINAL HOME HEALTH CARE

CA 059022 DEPENDABLE HOME HEALTH, INC

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212 NORTH GLENDALE AVE

SUITE 200

GLENDALE 91206 8185093000

600 NORTH MOUNTAIN

AVENUE SUITE B205

UPLAND 91786 9099209360

2495 E. ORANGETHORPE

AVE. STE. 101

FULLERTON 92831 7149910996

370 SOUTH CRENSHAW

BLVD SUITE E202M

TORRANCE 90503 3103205000

19634 VENTURA BLVD SUITE

321

TARZANA 91356 8183424406

350 W FIFTH STREET SUITE

212

SAN BERNARDINO 92401 9093861821

6030 RIVERSIDE DRIVE

SUITE H

CHINO 91710 9094655100

1000 BRANNAN STREET,

SUITE 205

SAN FRANCISCO 94103 4156645500

14557 FRIAR ST, STE A1 VAN NUYS 91411 8185084491

2415 HONOLULU AVENUE

SUITE C

MONTROSE 91020 8186388767

17215 STUDEBAKER ROAD

SUITE 175

CERRITOS 90703 5628651340

14712 PIPELINE AVENUE, #B CHINO 91709 9096064415

4774 RIVERSIDE DRIVE

SUITE F

CHINO 91710 9099930971

16922 AIRPORT BOULEVARD,

BUILDING 1, SUITE 17

MOJAVE 93501 6618240133

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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11/20/2008

12/09/2009

04/12/2009

04/22/2009

03/19/2010

08/16/2008

07/15/2008

02/05/2009

11/20/2008

09/05/2008

10/23/2008

12/10/2008

11/18/2008

01/30/2009

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Page 305: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059023 ARKEN HEALTHCARE SERVICES, INC

CA 059025 SANROSE HOME HEALTH SERVICES, INC

CA 059026 AFFINITY HOME HEALTH CARE SERVICES,

INC

CA 059027 A FLYING EAGLE HOME HEALTH

CA 059028 BROOKDALE HOME HEALTH

CA 059029 ALLCARE HEALTH SERVICES, INC

CA 059031 HOME HEALTH 4U, INC

CA 059032 ANGELS ON EARTH HOME HEALTH INC

CA 059033 IMPERIAL HOME HEALTH

CA 059034 STAR MED HOME HEALTH CARE

CA 059035 CENTRAL HOME HEALTH AGENCY

CA 059037 LEGACY HOME HEALTH CARE

CA 059040 STAR WORLD HOME HEALTH CARE

SERVICES, INC.

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BUILDING 1, SUITE 17

1700 HAMNER AVE, SUITE #

200

NORCO 92860 9512797877

1080 N INDIAN CANYON

DRIVE, STE #205

PALM SPRINGS 92262 7603275317

6960 MAGNOLIA AVE, SUITE

201

RIVERSIDE 92506 9517851287

5775 E LOS ANGELES

AVENUE, SUITE #100

SIMI VALLEY 93063 8055829389

5994 WEST LAS POSITAS

BOULEVARD, SUITE 105

PLEASANTON 94588 9252248675

360 SOUTH MILLIKEN

AVENUE SUITE F&G

ONTARIO 91761 9093905772

15650 DEVONSHIRE ST STE

200

GRANADA HILLS 91344 8188921200

4959 PALO VERDE ST#201A MONTCLAIR 91763 9094474615

16484 VICTOR STREET VICTORVILLE 92395 7609516688

10535 FOOTHILL BLVD #270 RANCHO

CUCAMONGA

91730 9099897224

210 N. CENTRAL AVENUE,

SUITE 210

GLENDALE 91203 8182420439

12440 FIRESTONE BLVD

SUITE 240

NORWALK 90650 5626512358

7400 VAN NUYS BLVD, SUITE

240

VAN NUYS 91405 8189942224

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11/19/2008

10/24/2008

11/19/2008

04/10/2009

12/29/2008

01/29/2009

01/24/2009

03/05/2009

01/19/2009

03/24/2009

01/09/2009

01/30/2009

02/04/2009

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CA 059041 AM & PM HOME HEALTH AGENCY, INC

CA 059042 HEALING WAVE HOME HEALTH AGENCY,

INC

CA 059043 LIVI'S HOME HEALTH CARE

CA 059044 ADVANCE HEALTHLINK, INC

CA 059045 OPTIMUM HOME HEALTHCARE, INC

CA 059048 HOMELIVING HEALTH PROVIDERS, INC

CA 059049 VALLEY HOME HEALTH CARE AGENCY, INC

CA 059050 RENAISSANCE HOME HEALTH SERVICES

CA 059051 BAYCAL HOME HEALTH CARE SERVICES,

INC.

CA 059052 UNITED HOME HEALTH AGENCY, INC

CA 059053 NEAT HOME CARE, INC

CA 059054 CARELINK HOME HEALTH INC

CA 059055 LIFEGUARD HOME HEALTH

CA 059056 PROFESSIONAL HOME HEALTH CARE, INC

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6737 SEPULVEDA BLVD VAN NUYS 91411 8189041010

353 E ANGELENO AVE SUITE

D1

BURBANK 91502 8188412273

1224 E BROADWAY, STE 103 GLENDALE 91205 8185021902

2490 HONOLULU AVE., STE.

120

MONTROSE 91020 8182494001

20121 VENTURA BLVD SUITE

302

WOODLAND HILLS 91364 8188885889

18321 VENTURA BLVD, SUITE

780

TARZANA 91356 8186099000

5530 CORBIN AVENUE, SUITE

112

TARZANA 91356 8183000223

819 S ALVARADO STREET,

SUITE 102

LOS ANGELES 90057 2132528981

1605 S. MAIN STREET, SUITE

105

MILPITAS 95035 4084140019

12030 RIVERSIDE DRIVE, STE

B

VALLEY VILLAGE 91607 8187558777

2829 N GLENOAKS BLVD,

SUITE 201

BURBANK 91504 8188597007

187 E WILBUR RD STE 16 THOUSAND OAKS 91360 8052301211

5976 W LAS POSITAS BLVD

SUITE 106

PLEASANTON 94588 5104010007

415 E HARVARD STREET,

SUITE 205

GLENDALE 91205 8185071125

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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11/20/2008

03/10/2009

12/19/2008

04/21/2009

04/06/2009

04/20/2009

02/25/2009

12/23/2008

07/10/2009

05/01/2009

05/08/2009

06/25/2009

09/03/2009

06/10/2009

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CA 059057 LIFESAVERS' HOME HEALTH SERVICES, INC

CA 059058 SENTRY HOME HEALTH SERVICES INC

CA 059075 AGM HOME HEALTH CARE, INC

CA 059059 PREMIER HEALTHCARE SERVICES, LLC

CA 059060 WISDOM HEALTH CARE SERVICES, INC

CA 059062 HEALTHY LIVING AT HOME, INC.

CA 059064 ASN HORIZON HOME HEALTH, INC

CA 059065 ALL SMILES HOME HEALTH CARE, INC

CA 059066 NOVA HOME HEALTH INC

CA 059067 LIFELINK HEALTH PROVIDERS, INC

CA 059068 LGA HOME HEALTH, INC

CA 059069 J & L HOME HEALTH SERVICES, INC

CA 059071 ANX HOME HEALTHCARE

CA 059072 CARMEL HOME HEALTH SERVICES INC

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903 W WILSHIRE BLVD FULLERTON 92832 7148766280

210 SOUTH IRWINDALE

AVENUE

AZUSA 91702 6265078688

14545 FRIAR ST, SUITE 219 VAN NUYS 91411 8189020552

19191 S VERMONT AVE

SUITE 160

TORRANCE 90502 3109881100

16921 SOUTH WESTERN

AVENUE #215

GARDENA 90247 3103243290

1879 LUNDY AVENUE, SUITE

113

SAN JOSE 95131 4083240600

1209 NORTH CENTRAL

AVENUE SUITE 205

GLENDALE 91202 8182406700

5530 CORBIN AVENUE SUITE

155

TARZANA 91356 8187884180

1551 W 13TH STREET SUITE

103

UPLAND 91786 9099810100

211 W FOOTHILL BLVD,

SUITE A

GLENDORA 91741 6263879650

1314 W GLENOAKS BLVD,

SUITE 101

GLENDALE 91201 8182441841

2161 COLORADO BLVD,

SUITE 205

LOS ANGELES 90041 3232553191

455 HICKEY BLVD, SUITE 415 DALY CITY 94015 6509915177

8273 WHITE OAK AVENUE,

SUITE 150

RANCHO

CUCAMONGA

91730 8056835100

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Proprietary

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02/17/2009

04/08/2009

07/14/2009

06/05/2009

04/11/2009

08/31/2009

07/13/2009

06/10/2009

05/26/2009

05/04/2009

06/19/2009

03/13/2009

10/08/2009

10/26/2009

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CA 059073 FIDELITY HOME HEALTH CARE INC

CA 059074 HAPPY HEALTH CARE, INC

CA 059078 NURSE CARE HEALTH GROUP LLC

CA 059079 HEALTHY LIFE HOME CARE, INC

CA 059080 PLATINUM CARE HOME HEALTH, INC

CA 059083 DEPENDABLE HOME CARE SERVICES INC

CA 059084 CALIFORNIA HEALTH

CA 059085 AMERICAN HOME HEALTH, INC.

CA 059086 PRIVILEGE HOME HEALTH CARE INC

CA 059087 M J HOME HEALTH SERVICES, INC

CA 059088 HEARTEN HOME HEALTH INC

CA 059089 UNI CARE HOME HEALTH INC

CA 059091 PRN HOME HEALTH SERVICES

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4195 VALLEY FAIR ST STE

106

SIMI VALLEY 93063 8055777655

20945 DEVONSHIRE ST, STE

106

CHATSWORTH 91311 8188846100

3303 WILSHIRE BL SUITE

1250

LOS ANGELES 90010 2133804444

7400 VAN NUYS BLVD., STE.

230

VAN NUYS 91405 8189822600

18344 OXNARD STREET,

SUITE 208

TARZANA 91356 8187570642

5924 E LOS ANGELES AVE

STE O

SIMI VALLEY 93063 8055820138

643 S SECOND AVENUE STE

C

COVINA 91723 6269672951

11631 VICTORY BLVD, STE

205

N HOLLYWOOD 91606 8185076929

217 E ALAMEDA AVE, SUITE

215

BURBANK 91502 8188460040

6450 BELLINGHAM AVENUE

SUITE B

NORTH HOLLYWOOD 91606 8187577500

1720 E LOS ANGELES AVE

STE 217

SIMI VALLEY 93065 8055782327

1165 LINDA VISTA DRIVE,

SUITE 101

SAN MARCOS 92078 7605100055

15600 DEVONSHIRE ST, STE

206

GRANADA HILLS 91344 8187615511

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09/07/2009

08/01/2009

08/25/2009

06/16/2009

01/22/2009

11/19/2009

09/01/2009

11/19/2009

11/17/2009

09/08/2009

08/04/2009

09/08/2009

07/27/2009

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CA 059092 DIRECT NURSING SERVICES, INC

CA 059093 R & G HOME HEALTH CARE SERVICES, INC

CA 059116 L & A HOME HEALTH CARE, INC

CA 059094 VANTAGE HOME HEALTH CARE SERVICES,

INC

CA 059095 QUEST HOME HEALTH, INC

CA 059096 LIRA HOME HEALTH, INC

CA 059098 NORTH CAL HOME HEALTH CARE, INC.

CA 059099 OPTIMA CARE HOME HEALTH SERVICES

INC

CA 059100 CHELSEA'S HOME HEALTH CARE, INC

CA 059101 K & A CARE, INC.

CA 059102 ALLIANT HOME HEALTH CARE SERVICES

CA 059103 GFK HOME HEALTH CARE

CA 059104 GOLDENCARE HOME HEALTH AGENCY, INC

CA 059105 MAXIMUM CARE PROVIDERS, INC

CA 059106 PRIMROSE HOME HEALTH, INC

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1111 N BRAND BLVD, STE 310 GLENDALE 91202 8189859898

539 N GLENOAKS BLD, STE

204B

BURBANK 91502 8188400900

3200 WILSHIRE BLVD, SUITE

1050

LOS ANGELES 90010 2137392569

20620 S LEAPWOOD

AVENUE, SUITE N

CARSON 90746 3105389046

3316 WEST VICTORY BLVD

SUITE A

BURBANK 91505 8187655400

8111 BEVERLY BLVD, STE

208

LOS ANGELES 90048 3237821815

22 BATTERY ST., SUITE 426 SAN FRANCISCO 94111 4154342273

8880 BENSON AVENUE SUITE

102

MONTCLAIR 91763 9096268600

17000 VENTURA BLVD SUITE

101

ENCINO 91316 2134848908

225 E BROADWAY STE 209 GLENDALE 91205 8185075678

2149 E GARVEY AVE NORTH,

SUITE A-4

WEST COVINA 91791 6263320600

8891 WATSON STREET,

SUITE 201

CYPRESS 90630 7148280474

436 WEST BROADWAY BLVD GLENDALE 91204 8182417094

55 E. HUNTINGTON DRIVE,

STE. 320

ARCADIA 91006 6264472100

21021 DEVONSHIRE ST, STE CHATSWORTH 91311 8183572421

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09/02/2009

08/27/2009

11/09/2009

09/23/2009

10/09/2009

09/23/2009

12/12/2009

08/19/2009

02/09/2009

08/24/2009

10/06/2009

08/31/2009

10/02/2009

09/08/2009

10/26/2009

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CA 059107 PREMIER HEALTHCARE SERVICES, LLC

CA 059108 MONTEBELLO HOME HEALTH CARE, INC

CA 059109 OPTION ONE HOME CARE INC

CA 059110 24/7 CARE AT HOME - HOME HEALTH

CA 059111 SAN DIEGO HOME HEALTH CARE SERVICES

INC

CA 059112 CLINICIAN HOME HEALTH SERVICES, INC

CA 059113 TOTAL CARE HOME HEALTH SERVICES

CA 059114 ELITE HOME CARE, INC

CA 059117 MAXIM HEALTHCARE SERVICES, INC

CA 059118 MEDQUEST HEALTH SERVICES, INC

CA 059119 PROGRESSIVE HOME HEALTH CARE, INC

CA 059120 GRATITUDE HEALTH CARE, INC.

CA 059121 MAXIM HEALTHCARE SERVICES, INC

CA 059122 AMEDISYS HOME HEALTH CARE

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206

625 THE CITY DRIVE SOUTH,

SUITE 390

ORANGE 92868 7148341442

1020 A WEST BEVERLY BLVD MONTEBELLO 90640 3238871054

10120 CANOGA AVE, STE 200 CHATSWORTH 91311 8187198622

13800 ARIZONA STREET,

SUITE 200

WESTMINSTER 92683 7146225334

511 ENCINITAS BLVD, STE

100

ENCINITAS 92024 7604367344

17672 BEACH BLVD STE C HUNTINGTON BEACH 92647 7142558008

4201 LONG BEACH BLVD

SUITE 308 LONG BEACH CA

90807

LONG BEACH 90802 5622850432

3807 WEST SIERRA HWY

SUITE 207

ACTON 93510 6612692279

151 NORTH SUNRISE

AVENUE, SUITE 905

ROSEVILLE 95661 9167717444

740 E ARROW HWY SUITE C COVINA 91722 6263376500

1314 W GLENOAKS BLVD,

SUITE 204

GLENDALE 91201 8185531511

21800 OXNARD ST SUITE 910 WOODLAND HILLS 91367 8183418551

15095 AMARGOSA ROAD

SUITE 102

VICTORVILLE 92394 7602433377

1700 S WINCHESTER BLVD, CAMPBELL 95008 4083703927

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06/05/2009

11/11/2009

10/23/2009

10/26/2009

02/26/2010

10/02/2009

06/05/2009

08/07/2009

10/20/2009

03/15/2010

11/03/2009

11/23/2009

10/16/2009

01/16/2010

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Page 353: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059126 BLUE SKY HOME HEALTH CARE, INC

CA 059127 RN HOME HEALTH CARE, INC

CA 059128 PROLIFIC HEALTH CARE, INC

CA 059140 MED CARE, INC

CA 059141 URGENT HOME HEALTH CARE, INC

CA 059142 US MEDTRADE HOME HEALTHCARE, INC

CA 059129 MAXIM HEALTHCARE SERVICES INC

CA 059130 EXCEPTIONAL HOME HEALTH SERVICES

INC

CA 059131 KLM HOME HEALTH, INCORPORATED

CA 059132 BRIGHT CARE HOME HEALTH PROVIDER

CA 059133 JUBILEE HOME HEALTH CARE, INC

CA 059134 SINAI HOME HEALTHCARE, INC

CA 059135 HEALING CARE HOME HEALTH, INC

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SUITE 102

18531 ROSCOE BLVD, SUITE

208

NORTHRIDGE 91324 8187738787

5627 SEPULVEDA BLVD,

SUITE 201

VAN NUYS 91411 8008118311

12631 E IMPERIAL HWY,

SUITE F-228

SANTA FE SPRINGS 90670 5628642627

12722 RIVERSIDE DR, STE

101

VALLEY VILLAGE 91607 8183369811

17315 STUDEBAKER ROAD,

SUITE 310

CERRITOS 90703 5628654600

221 E GLENOAKS BLVD,

SUITE 100

GLENDALE 91207 8185500877

735 TANK FARM ROAD, SUITE

#135

SAN LUIS OBISPO 93401 8055455472

2315 KUEHNER DR STE 112 SIMI VALLEY 93063 8055273527

3111 LOS FELIZ BLVD SUITE

100

LOS ANGELES 90039 8187817102

1131 W SIXTH STREET SUITE

232

ONTARIO 91762 9099867538

4195 VALLEY FAIR, SUITE

200

SIMI VALLEY 93063 8055789806

4733 LANKERSHIM BLVD NORTH HOLLYWOOD 91602 8669574624

14545 VICTORY BLVD, SUITE

305

VAN NUYS 91411 8189019216

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09/29/2009

11/20/2009

12/17/2009

12/14/2009

12/19/2009

11/29/2009

12/04/2009

11/23/2009

10/26/2009

06/18/2009

01/30/2010

12/10/2009

01/03/2010

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Page 361: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059137 CAREPOINTE HOME HEALTH SERVICES,

INC

CA 059138 FIRST SMILE HOME HEALTH CARE

CA 059139 A & P HOME HEALTH, INC

CA 059143 MARY'S HELP HOME HEALTH SERVICES,

INC

CA 059144 ADOBE HOME HEALTH, INC

CA 059145 AMERICAN HOME HEALTH CARE, LLC

CA 059147 CARITAS HOME HEALTH PROVIDERS, INC

CA 059148 B & F HOME HEALTH, INC

CA 059149 CENTURY HOME HEALTHCARE, INC

CA 059150 SUPREME HOME HEALTH SERVICES, INC

CA 059152 GRAPEVINE HOMECARE, INC

CA 059153 GENTLE HOME HEALTH CARE, INC

CA 059158 KOREAN TOWN HOME CARE

CA 059159 MARE ISLAND HOME HEALTH INC

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305

454 E CARSON PLAZA DR,

SUITE 209

CARSON 90746 3109656550

2314 W BURBANK BLVD BURBANK 91506 8189511565

212 N GLENDALE AVE, STE

104

GLENDALE 91206 8188464100

3469 TENNESSEE STREET,

SUITE 101

VALLEJO 94591 7076457447

19045 PORTOLA DRIVE,

SUITE E

SALINAS 93908 8314241311

6850 REGIONAL STREET,

SUITE 110

DUBLIN 94568 5105740390

209 EAST ALAMEDA AVENUE

#203

BURBANK 91502 8185578777

21151 SOUTH WESTERN AVE,

SUITE 225

TORRANCE 90501 3107822436

11145 TAMPA AVE, STE 19B PORTER RANCH 91326 8183668700

7334 TOPANGA CANYON

BLVD, SUITE 111

CANOGA PARK 91303 8183550364

4032 WILSHIRE BLVD, SUITE

404

LOS ANGELES 90010 2133898200

20945 DEVONSHIRE STREET CHATSWORTH 91311 8187541773

1600 SAWTELLE, SUITE 308 LOS ANGELES 90025 3104481414

1555 TENNESSEE STREET VALLEJO 94590 7075576800

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12/08/2009

12/12/2009

11/13/2009

12/07/2009

02/17/2010

02/25/2010

12/01/2009

01/17/2010

01/28/2010

01/29/2010

01/31/2010

12/17/2009

12/21/2009

01/09/2010

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CA 059160 EASTERN HOME HEALTH, INC

CA 059161 PROFESSIONAL NURSING INC

CA 059162 REMEDY HOME HEALTH CARE

CA 059163 UNLIMITED HOMECARE SERVICES

CA 059164 CARESS HOME HEALTH PROVIDERS, INC

CA 059165 MAGNOLIA HOME HEALTH CARE SERVICES,

INC

CA 059166 VERDUGO HOME HEALTH, INC

CA 059167 ACCU - RITE HEALTH SERVICES, INC

CA 059168 SUPREME CARE HOME HEALTH, INC

CA 059169 CVHCARE LOS ANGELES

CA 059170 JEWISH HOME CARE SERVICES

CA 059171 MAJESTIC HOME HEALTH CARE, INC

CA 059187 VALROSE HOME HEALTH, INC

CA 059172 ENVISION HOME HEALTH SERVICES, INC

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2463 W TORRANCE BLVD,

SUITE C & D

TORRANCE 90501 3108162980

12501 CHANDLER BLVD, STE

205

VALLEY VILLAGE 91607 8189555848

9836 WHITE OAK AVENUE,

SUITE 209

NORTHRIDGE 91325 8189000788

159 E HUNTINGTON DRIVE,

UNIT 4

ARCADIA 91006 6264465468

22048 SHERMAN WAY, SUITE

306

CANOGA PARK 91303 8188843855

3314 W BURBANK BLVD BURBANK 91505 8185664411

4170 VERDUGO ROAD, SUITE

C

LOS ANGELES 90065 3232575115

163 W ARROW HIGHWAY GLENDORA 91740 6269638887

10510 VICTORY BLVD, SUITE

205

N HOLLYWOOD 91606 8187635981

300 E MAGNOLIA BLVD, STE

401

BURBANK 91502 8772842638

6345 BALBOA BLVD, STE 213 ENCINO 91316 8186550411

11434 VANOWEN STREET N HOLLYWOOD 91605 8183927900

22148 SHERMAN WAY BLVD,

SUITE 202

CANOGA PARK 91303 8189320542

17725 CRENSHAW BLVD,

SUITE 302

TORRANCE 90504 3234451674

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10/21/2009

02/16/2010

03/10/2010

04/19/2010

02/11/2010

03/25/2010

02/12/2010

01/07/2010

02/05/2010

03/02/2010

02/22/2010

02/16/2010

03/20/2010

03/11/2010

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CA 059173 HAPPY HOME HEALTH SERVICES

CA 059174 HEALTHY LIFE HOME HEALTH CARE, INC

CA 059175 GOOD LIFE HOME CARE

CA 059176 446 SCHOLL HOME HEALTH CARE, INC

CA 059178 BROADWAY HOME HEALTH SERVICES, INC

CA 059179 CARE AT HOME, INC

CA 059180 PREMIER HOME HEALTH PROVIDERS INC.

CA 059182 GRAPEVINE HOME HEALTH SERVICES INC

CA 059183 CALIFORNIA HEALTHCARE SERVICES

CA 059184 AMERICAN CARE HOME HEALTH, INC

CA 059185 SIGMA HOME HEALTH CARE, INC

CA 059186 GOODWILL HOME HEALTH SERVICES, INC

CA 059206 ELITE HOME HEALTH, INC

CA 059188 HOLISTIC CARE HOME HEALTH AGENCY,

INC

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1010 SOUTH BALDWIN AVE

SUITE 202

ARCADIA 91007 6262549999

7136 HASKELL AVE, SUITE

210

VAN NUYS 91406 8189940182

22 LOWER RAGSDALE DRIVE,

SUITE B

MONTEREY 93940 8316462046

14545 FRIAR ST, STE 228 VAN NUYS 91411 8187790012

644 W BROADWAY, SUITE

100

GLENDALE 91204 8185000041

910 CAMPISI WAY, SUITE 2C CAMPBELL 95008 4083793990

1095 BIRD AVENUE, SUITE 4 SAN JOSE 95125 4088990332

8459 WHITE OAK AVE SUITE

103

RANCHO

CUCAMONGA

91730 9094836505

13658 HAWTHORNE BLVD,

SUITE 200A

HAWTHORNE 90250 3106448302

434 WEST COLORADO ST,

STE 100

GLENDALE 91204 8185515571

805 EAST BROADWAY, SUITE

G

GLENDALE 91205 8185511141

22151 VENTURA BLVD, STE

202

WOODLAND HILLS 91364 8185007433

220 S. KENWOOD ST. SUITE

220

GLENDALE 91205 8185029494

10999 RIVERSIDE DRIVE, STE

308

TOLUCA LAKE 91602 3239570777

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Proprietary

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Proprietary

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01/09/2010

12/21/2009

06/18/2010

05/13/2010

04/24/2010

06/02/2010

06/04/2010

03/18/2010

01/12/2010

03/11/2010

04/06/2010

02/26/2010

04/15/2010

03/23/2010

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CA 059189 BEST CARE HOME HEALTH GROUP, INC

CA 059190 SUPREME HEALTHCARE, INC.

CA 059191 CARE FOR ALL HEALTH SERVICES INC

CA 059192 RELIANT HOME HEALTHCARE SERVICES

CA 059193 PRESTIGIOUS HOME HEALTH, INC

CA 059195 CRYSTAL CLEAR HOME HEALTH, INC

CA 059197 COMMUNITY HOME HEALTH CARE

SERVICES

CA 059198 ALTHIA HOME HEALTHCARE, INC.

CA 059199 ELAN HOME HEALTH, INC

CA 059200 EMC HOME HEALTH PROVIDERS, INC

CA 059201 OPTIMUM HOME HEALTH, INC

CA 059202 AFFINITY HOME HEALTH, INC

CA 059205 NOHO HOME HEALTH CARE, INC

CA 059207 ST ROSE OF LIMA HEALTHCARE PROVIDER,

INC

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126 SOUTH JACKSON

STREET, SUITE 303

GLENDALE 91205 8182474444

28312 CONSTELLATION RD

SUITE A

VALENCIA 91355 8188301155

126 S JACKSON ST, SUITE

204

GLENDALE 91205 8182400220

8880 BENSON AVENUE UNIT

118

MONTCLAIR 91763 9518189898

1074 PARK VIEW DR, SUITE

103

COVINA 91724 6267220279

1016 E BROADWAY, SUITE

109

GLENDALE 91205 8182417141

1012 E COLORADO ST #270 GLENDALE 91205 8182447029

3200 WILSHIRE BLVD, SUITE

311

LOS ANGELES 90010 2133896190

9608 VAN NUYS BVLD, #204 PANORAMA CITY 91402 8188910097

7851 WALKER STREET,

SUITE 101

LA PALMA 90623 7145214476

5800 A HANNUM AVE, STE

215

CULVER CITY 90230 3103371200

5767 UPLANDER WAY CULVER CITY 90230 3104000404

6422 1/2 COLDWATER

CANYON AVE

N HOLLYWOOD 91606 4242684340

18200 YORBA LINDA BLVD,

SUITE 211

YORBA LINDA 92886 7147775931

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02/26/2010

02/10/2010

04/07/2010

03/08/2010

01/29/2010

03/27/2010

12/30/2009

03/22/2010

03/12/2010

10/15/2009

04/15/2010

07/20/2010

03/26/2010

12/28/2009

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Page 393: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

INC

CA 059208 LEVEL HOME HEALTH, INC

CA 059209 NEIGHBORHOOD HOME HEALTH CARE

CA 059210 GLOBAL HEALTHCARE SERVICES, LLC

CA 059211 24-7 QUALITY INFUSION AND HOME HEALTH

INC

CA 059212 D & B HEALTH CARE PROFESSIONALS

BURBANK, INC

CA 059213 SHAPIRA & STEIN HOME HEALTHCARE

AGENCY

CA 059214 MIRACLE LIFE HOME HEALTH INC

CA 059216 GRACE HOME HEALTH NURSING SERVICES

CA 059217 INFINITY CARE SERVICES, INC

CA 059219 HEALTHWAYS HOME HEALTH SERVICES,

INC

CA 059220 PROVIDENT HOME HEALTHCARE, INC

CA 059221 OPTIMA HOME HEALTH SERVICES

CA 059223 BENEFICIAL HOME HEALTH SERVICES, INC

CA 059224 CAREWELL HOME HEALTH, INC

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SUITE 211

22961 TRITON WAY, UNIT B LAGUNA HILLS 92653 9492060691

1650 E WALNUT ST, SUITE A PASADENA 91106 6265845923

400 12TH STREET, SUITE 25 MODESTO 95354 2095499875

2659 TOWNSGATE RD STE

132

WESTLAKE VILLAGE 91361 8054946700

12140 ARTESIA BLVD, SUITE

202

ARTESIA 90701 8188488887

4741 LAUREL CANYON BLVD,

SUITE 208

VALLEY VILLAGE 91607 8189856800

2829 N GLENOAKS BLVD

SUITE 105

BURBANK 91504 8185462382

6101 CHERRY AVENUE SUITE

206

FONTANA 92336 9094637400

1325 N CENTER STREET,

SUITE 2A

STOCKTON 95202 2092640300

34 EXECUTIVE PARK, SUITE

212

IRVINE 92614 9497248889

7950 SILVERTON AVE SUITE

114

SAN DIEGO 92126 8585300442

2025 CHICAGO AVENUE,

SUITE A-12

RIVERSIDE 92507 9516827555

770 SOUTH BREA BLVD,

SUITE #217

BREA 92821 7142560756

12630 BROOKHURST ST, GARDEN GROVE 92840 7145309750

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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03/20/2010

06/16/2010

06/01/2010

04/11/2010

04/03/2009

08/23/2010

08/19/2010

01/04/2010

08/27/2010

07/23/2010

06/23/2010

02/12/2009

05/18/2010

06/15/2010

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Page 401: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059227 VALLEY HOME HEALTH

CA 059230 RITE CARE HOME HEALTH

CA 059231 PLANET HOME HEALTH CARE, INC

CA 059232 HEALTHY CHOICE HOME CARE, INC

CA 059233 IBOLIT HOME HEALTH, INC

CA 059234 GUARDIAN HOME HEALTH, INC

CA 059236 DESERT OASIS HEALTHCARE-HOME

HEALTH SERVICES

CA 059237 MERIDIAN HOME HEALTH

CA 059239 VICTORY HOME HEALTH CARE, INC

CA 059241 PRIVILEGE HOME SERVICES, INC

CA 059242 ALL-ACCESS HOME HEALTH, INC

CA 059243 FLORENCE HOME HEALTH CARE

CA 059244 MAGNIFICENT HEALTHCARE SYSTEMS INC

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SUITE E

2511 WEST SHAW AVENUE

SUITE 101

FRESNO 93711 5592224060

14144 VENTURA BLVD STE

304

SHERMAN OAKS 91423 8189889444

221 E GLENOAKS BLVD, STE

240

GLENDALE 91207 8182420720

14827 VENTURA BLVD, SUITE

216

VAN NUYS 91403 8187872482

221 WEST ALAMEDA

AVENUE, SUITE 202

BURBANK 91502 8188457770

1101 E BROADWAY, SUITE

107

GLENDALE 91205 8182918444

255 NORTH EL CIELO ROAD

STE C-308

PALM SPRINGS 92262 7603468254

3900 NEWPARK MALL ROAD,

SUITE 209

NEWARK 94560 5107939255

909 S VICTORY BLVD BURBANK 91502 8188482099

11395 183RD STREET CERRITOS 90703 5624680888

144 N GLENDALE AVE SUITE

302

GLENDALE 91206 8182404663

2521 E THOUSAND OAKS

BLVD

THOUSAND OAKS 91362 8054971674

5924 E LOS ANGELES AVE

STE 5

SIMI VALLEY 93063 8055266888

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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09/15/2010

09/01/2010

08/01/2010

09/14/2010

06/21/2010

07/10/2010

04/20/2010

10/31/2010

07/06/2010

05/29/2010

09/16/2010

07/29/2010

05/22/2010

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Page 409: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059245 SERENITY HOME HEALTH CARE, INC

CA 059290 ASAP HOME HEALTH PROVIDERS, INC

CA 059246 CAMARILLO SKILLED HOME HEALTH LLC

CA 059247 IN HOME HEALTHCARE, INC

CA 059248 GIFTED ARMS HOME HEALTHCARE

SERVICES

CA 059249 NATIONAL HOME HEALTH SERVICES, INC

CA 059250 UNITED NURSING SOLUTIONS, INC

CA 059251 ADVANCED HOME HEALTH NORTHBAY, INC

CA 059252 INNERJOY HOME HEALTH SERVICES INC

CA 059253 METROPOLITAN HEALTHCARE, INC

CA 059254 HANA HOME CARE

CA 059255 OPTIMA HEALTH CARE SERVICES, INC

CA 059256 ACACIA HOME HEALTH SERVICES

CA 059257 GOLDEN SEAL HOME HEALTH, INC

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20335 VENTURA BLVD, SUITE

105

WOODLAND HILLS 91364 8187037379

1129 N GAREY AVENUE, STE

B

POMONA 91767 9098680300

450 ROSEWOOD AVE STE

213

CAMARILLO 93010 8059872888

1280 E COOLEY DRIVE SUITE

7

COLTON 92324 9098241112

1701 WESTWIND DRIVE,

SUITE 106

BAKERSFIELD 93301 6613229207

2880 ZANKER ROAD, SUITE

101

SAN JOSE 95134 4087861035

12241 INDUSTRIAL BLVD, STE

204

VICTORVILLE 92395 7602457777

1100 ROSE DRIVE, SUITE 160 BENICIA 94510 7076432100

1965 YOSEMITE AVE STE 120 SIMI VALLEY 93063 8183599447

4929 WILSHIRE BLVD, SUITE

945

LOS ANGELES 90010 3239602533

2140 WEST OLYMPIC BLVD

SUITE 501

LOS ANGELES 90006 2133836333

235 EAST BROADWAY SUITE

920

LONG BEACH 90802 5629838999

1616 VICTORY BLVD, SUITE

205

GLENDALE 91201 8182412200

1711 WEST TEMPLE STREET,

SUITE 7607

LOS ANGELES 90026 2133817370

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

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11/10/2010

01/01/2011

08/15/2010

11/30/2009

03/25/2010

11/15/2010

09/17/2010

12/13/2010

08/25/2010

05/14/2010

08/27/2010

08/23/2010

07/14/2010

07/12/2010

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Page 417: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059258 NURSING RESOURCES

CA 059259 SUNCREST HOME HEALTH SERVICES INC

CA 059260 BONUM OF OC HOME HEALTH SERVICES

CA 059261 TENDER LOVING TOUCH HOME HEALTH,

INC

CA 059262 LOS FELIZ HOME HEALTH, INC

CA 059263 PRESTIGE HOME HEALTH CARE, INC

CA 059264 DIVINE GRACE HOME HEALTH, INC

CA 059265 OPEN ARMS HOME HEALTH CARE, INC

CA 059266 MATRIX HOME HEALTH

CA 059267 ADVANCE HOME CARE, INC

CA 059268 SUPREME VISITING NURSES, INC.

CA 059269 ANG HEALTH CARE, INC

CA 059271 INDEPENDENCE HOME HEALTH, INC

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SUITE 7607

31080 UNION CITY BLVD,

SUITE 203

UNION CITY 94587 5107457878

4959 PALO VERDE STREET

SUITE 206A-2

MONTCLAIR 91763 9093991122

2081 BUSINESS CENTER DR,

STE 128

IRVINE 92612 9493835380

12517 CRENSHAW BLVD HAWTHORNE 90250 3239334633

3111 LOS FELIZ BLVD, STE

216

LOS ANGELES 90039 3236639500

601 N VERMONT AVENUE,

SUITE 103

LOS ANGELES 90004 3236440607

512 E WILSON AVENUE

SUITE 401

GLENDALE 91206 8189565872

10117 SEPULVEDA BLVD

SUITE 103

MISSION HILLS 91345 3106455450

19562 VENTURA BLVD, SUITE

209

TARZANA 91356 8183437800

1903 GLENOAKS ST, SUITE B BURBANK 91504 8188482100

550 EAST CARSON PLAZA

DRIVE, SUITE 104

CARSON 90746 3108089020

6693 FOLSOM AUBURN

ROAD, SUITE M

FOLSOM 95630 9169900930

7200 VINELAND AVE., SUITE.

210

SUN VALLEY 91352 8187640997

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/27/2010

10/19/2010

08/12/2010

11/26/2010

11/08/2010

08/11/2010

12/08/2010

11/04/2010

01/27/2011

04/23/2010

03/24/2011

03/20/2011

12/07/2010

Page 424 of 792 06/17/2018

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Page 425: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059272 PLEASURE HOME HEALTH, INC

CA 059273 ALERT HOME HEALTH CARE

CA 059275 WEST COAST HOME HEALTH CARE, INC

CA 059276 JM HOMECARE SOLUTIONS, INC

CA 059277 ATRIUM HOME HEALTH, INC

CA 059279 INDEPENDENCE HOME HEALTHCARE, INC

CA 059280 VALLEY HOME HEALTH CARE, INC

CA 059281 DIAMOND HOME HEALTH, INC

CA 059282 BROOKDALE HOME HEALTH

CA 059283 ASHERAH HOME & PALLIATIVE CARE, INC

CA 059284 COAST TO COAST HOME HEALTH CARE,

INC.

CA 059285 MILLENNIUM HOME HEALTH CARE, INC

CA 059287 ST PAUL HOME HEALTH SERVICES, INC

CA 059288 TOP CHOICE HOME HEALTHCARE, INC.

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210

315 ARDEN AVE SUITE 24 GLENDALE 91203 8182435300

11501 DUBLIN BOULEVARD,

SUITE 200

DUBLIN 94568 9255582798

12011 VICTORY BLVD STE

203

NORTH HOLLYWOOD 91606 6267968949

625 SOUTH PALM STREET

SUITE E

LA HABRA 90631 5622661299

1901 EAST LAMBERT RD,

SUITE 207

LA HABRA 90631 5626913888

135 W WALNUT ST GARDENA 90248 3105231905

1545 N VERDUGO RD, SUITE

207

GLENDALE 91208 8184090918

556 N DIAMOND BAR BLVD DIAMOND BAR 91765 9093969888

19312 HIGHWAY 12, SUITE B SONOMA 95476 7079398535

2117 N LAKE AVE, STE 202 ALTADENA 91001 8188468483

14852 VENTURA BLVD SUITE

207

SHERMAN OAKS 91403 8187844404

13758 VICTORY BLVD, SUITE

208

VAN NUYS 91401 8187798902

14431 HAMLIN STREET SUITE

202

VAN NUYS 91401 8184881485

539 N GLENOAKS BLVD, STE

201

BURBANK 91502 8186988282

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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12/11/2010

02/16/2011

11/08/2010

02/03/2011

02/08/2011

01/26/2011

01/27/2011

05/17/2010

01/25/2011

07/10/2010

12/22/2010

02/02/2011

03/09/2011

02/02/2011

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CA 059289 FIRST AID HOME HEALTH CARE, INC

CA 059292 GOLDEN CENTURY HOME HEALTH CARE,

INC

CA 059294 ALLIED HOME HEALTH CARE

CORPORATION

CA 059295 LOYAL HOME HEALTH CARE INC

CA 059296 PREMIER HEALTHCARE SERVICES LLC

CA 059297 TITUS HOME HEALTH CARE, INC

CA 059298 BLESSED HEALTH CARE PROVIDER, INC

CA 059299 COMPANION HOME HEALTH CARE

CORPORATION

CA 059300 PACIFIC RIM HOME HEALTH, INC

CA 059301 DEPENDABLE NURSING LLC

CA 059302 HOME HEALTH ALLIANCE

CA 059303 SEAPORT HOME HEALTH

CA 059304 ALSA HOME HEALTH CARE, INC

CA 059305 CITY OF ANGELS HOME HEALTH, INC

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337 E MAGNOLIA BLVD, UNIT

A

BURBANK 91502 8185633337

4116 W MAGNOLIA BLVD,

SUITE 205

BURBANK 91505 8188409500

15220 CENTRAL AVENUE

UNIT A

CHINO 91710 9096276225

2139 TAPO ST STE 208 SIMI VALLEY 93063 8055831233

2020 CAMINO DEL RIO

NORTH, SUITE 600

SAN DIEGO 92108 6195746744

144 S 1ST STREET, STE 101 BURBANK 91502 8187802600

271 EAST WORKMAN

STREET, STE 201

COVINA 91723 6268582319

8130 FLORENCE AVE, STE

150

DOWNEY 90240 5629065056

4214 WEST BEVERLY BLVD,

STE 210

LOS ANGELES 90004 2133519982

5055 AVENIDA ENCINAS,

SUITE 120

CARLSBAD 92008 7606020583

1 NORTH MAIN STREET,

SUITE 1

MILPITAS 95035 4082637102

5473 KEARNY VILLA ROAD,

SUITE 100

SAN DIEGO 92123 8586345870

640 SOUTH SUNSET

AVENUE, SUITE 109

WEST COVINA 91790 6268444357

21707 HAWTHORNE BLVD,

SUITE 202

TORRANCE 90503 3103037909

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Proprietary

Proprietary

Proprietary

Proprietary

Government - Local

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Page 440: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

03/14/2011

01/05/2011

11/07/2009

03/14/2011

04/13/2011

05/06/2011

04/11/2011

04/19/2011

04/02/2011

04/11/2011

03/14/2011

05/26/2011

04/11/2011

03/01/2011

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Page 441: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059306 RINALDI HOME HEALTH CARE, INC

CA 059307 NOBLE HOSPICE & HOME HEALTH CARE,

INC

CA 059308 GOLDEN ANGELS HOME HEALTH CARE

CA 059309 JMJ HOME HEALTH SERVICES

CA 059310 ACES HOME HEALTHCARE SERVICES INC

CA 059312 HEALTHPOINT HOME HEALTH, INC

CA 059315 OPHIE HOME HEALTH SERVICES INC

CA 059316 ANGELICARE HOME HEALTH INC

CA 059317 NURSES AND ANGELS HOME HEALTH, INC

CA 059318 PATRIOT HOME HEALTH CARE, INC

CA 059319 TEAM NURSES HOME HEALTH SERVICES

CA 059320 MISSION HOSPICE AND HOME CARE

CA 059321 HORIZON HEALTH CARE SYSTEMS, INC

CA 059322 PRESTIGE HOME HEALTH SERVICES, INC

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Page 442: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

SUITE 202

11565 LAUREL CANYON

BLVD, SUITE 207

SAN FERNANDO 91340 8188981100

41305 ALBRAE STREET FREMONT 94538 5106839100

43136 CHRISTY STREET,

SUITE 112

FREMONT 94538 5106834600

1181 CENTRAL BLVD, SUITE

A

BRENTWOOD 94513 9256341100

4959 PALO VERDE ST STE

203 A

MONTCLAIR 91763 9094474444

3120 WILLOW AVE SUITE 102 CLOVIS 93612 5594127953

1511 W HOLT BLVD SUITE G ONTARIO 91762 9099840400

12598 CENTRAL AVENUE,

SUITE 210

CHINO 91710 9094642273

609 N BUNKER HILL AVE LOS ANGELES 90012 2136130668

440 WEST COLORADO ST,

SUITE 215

GLENDALE 91204 8185510757

1815 NORTH D STREET SAN BERNARDINO 92405 9518978002

1670 SOUTH AMPHLETT

BLVD., SUITE 300

SAN MATEO 94402 6505541000

2488 TAPO STREET, SUITE #1 SIMI VALLEY 93063 8055272139

4212 N PERSHING AVENUE,

SUITE A-7

STOCKTON 95207 2094780758

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Religious

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

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Page 448: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

05/22/2011

05/27/2011

06/23/2011

05/03/2011

07/16/2011

07/06/2011

08/12/2011

07/18/2011

03/29/2011

07/21/2011

04/07/2011

08/31/2011

10/03/2011

09/07/2011

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Page 449: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059323 PREMIER HEALTHCARE SERVICES, LLC

CA 059324 PREMIER HEALTHCARE SERVICES, LLC

CA 059325 MHIRAMARC MANAGEMENT LLC HOME

HEALTH SERVICES

CA 059327 CONCORDIA HEALTH CARE PROVIDER, INC

CA 059328 HOME HEALTH ANGELS

CA 059329 AT HOME HEALTH SERVICES, INC

CA 059330 TRI-CARE HOME HEALTH SERVICES, INC.

CA 059331 ACCESS HOME HEALTH CARE, LLC

CA 059332 SENSICARE HOME HEALTH INC

CA 059384 HORIZON VALLEY HOME HEALTH CARE INC

CA 059333 BEST HOME HEALTH CARE INC

CA 059334 PREMIER HEALTHCARE SERVICES, LLC

CA 059335 SUPERIOR CARE HOME HEALTH AGENCY,

INC

CA 059336 SOCAL HOME HEALTH, INC

CA 059337 OUR LADY OF LOURDES HOME HEALTH,

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Page 450: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

650 EAST HOSPITALITY LANE SAN BERNARDINO 92408 9098900448

13949 VENTURA BLVD SHERMAN OAKS 91423 8189869940

7473 FOOTHILL BLVD TUJUNGA 91042 8183529561

2225 W COMMONWEALTH

AVE SUITE 305

ALHAMBRA 91803 6262817400

340 S FARRELL DRIVE SUITE

A-204

PALM SPRINGS 92262 7606992473

5530 CORBIN AVE, SUITE 228 TARZANA 91356 8187573333

14126 SHERMAN WAY, SUITE

11

VAN NUYS 91405 8187790654

18445 VANOWEN STREET RESEDA 91335 8182772000

222 N MOUNTAIN AVENUE,

SUITE 214

UPLAND 91786 9099498833

28991 OLD TOWN FRONT

STREET, SUITE 105 & 107

TEMECULA 92590 9516994017

1630 E FRANCIS STREET

SUITE K

ONTARIO 91761 9099239303

ONE BETTER WORLD CIR,

SUITE #120

TEMECULA 92590 9515878100

11755 N VICTORY BLVD UNIT

100B

NORTH HOLLYWOOD 91606 8185068888

1241 S GLENDALE AVE,

SUITE 304A

GLENDALE 91205 8182402227

8560 VINEYARD AVENUE, RANCHO 91730 9099444844

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Page 451 of 792 06/17/2018

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Page 456: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

01/20/2011

04/14/2011

12/30/2010

07/19/2011

05/16/2011

07/25/2011

09/10/2011

06/10/2011

09/09/2011

01/31/2012

10/10/2011

03/18/2011

07/28/2011

08/30/2011

06/22/2011

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Page 457: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

INC

CA 059338 FOREMOST HOME HEALTH CARE, INC

CA 059339 ST LUKE HOME HEALTH CARE, INC

CA 059341 ACA HOME HEALTH CARE INC

CA 059342 HELPING HANDS HOME HEALTH CENTER,

INC

CA 059343 PERFECT TOUCH HOME HEALTH CARE, INC

CA 059345 PREMIER HEALTHCARE SERVICES, LLC

CA 059346 FIVE STAR QUALITY HEALTHCARE, INC

CA 059348 PREMIER HEALTHCARE SERVICES, LLC

CA 059349 TRUEMED, INC

CA 059350 PROHEALTH HOME CARE SERVICES, INC.

CA 059351 FAITH & HOPE HOME HEALTH, INC.

CA 059352 VALENCIA HOME CARE

CA 059353 GENTLE CARE HOME HEALTH SERVICES,

INC

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SUITE 406 CUCAMONGA

7033 W SUNSET BLVD SUITE

314

LOS ANGELES 90028 3239539392

412 WEST BROADWAY,

SUITE 216

GLENDALE 91204 8189569878

223 E THOUSAND OAKS

BLVD STE 407

THOUSAND OAKS 91360 8054972773

2116 WILSHIRE BLVD, SUITE

248

SANTA MONICA 90403 3105813500

7250 BEVERLY BLVD, SUITE

205-206

LOS ANGELES 90036 3238521959

28202 CABOT RD, SUITE 450 LAGUNA NIGUEL 92677 9493478232

541 W COLORADO BLVD,

SUITE 322

GLENDALE 91204 8185076469

1000 ATLANTIC AVENUE,

SUITE 112

ALAMEDA 94501 5105682201

400 OYSTER POINT BLVD,

SUITE 201

SOUTH SAN

FRANCISCO

94080 6505888331

4221 WILSHIRE BLVD., SUITE

135

LOS ANGELES 90010 3239320773

425 S VICTORY BLVD BURBANK 91502 8185591460

1508 W VERDUGO AVENUE,

SUITE B

BURBANK 91506 8185563321

5530 CORBIN AVENUE, #375 TARZANA 91356 8183850185

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Page 464: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

09/15/2011

09/08/2011

04/29/2011

08/29/2011

07/01/2011

10/03/2011

11/11/2011

11/10/2011

12/23/2011

09/01/2011

07/21/2011

07/15/2011

09/01/2011

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Page 465: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059354 BLIZE HEALTHCARE

CA 059366 24-SEVEN HOME HEALTH, INC

CA 059367 OPTIMAL HOME HEALTH

CA 059355 NATIONAL HOME HEALTH SERVICES-WEST,

INC

CA 059356 HEALTH PLUS HOME HEALTH CARE INC

CA 059357 ST JAMES HOME HEALTH, INC

CA 059358 CHOICE HOME HEALTH SERVICES

CA 059359 24/7 HOME HEALTH SERVICES

CA 059360 HEALTH AT HOME

CA 059361 CURING HANDS HOME HEALTH, INC

CA 059363 PACIFIC COAST HOME HEALTH SERVICES,

LLC

CA 059364 CARELINK HOME HEALTH AGENCY

CA 059365 ALLEVIATION HEALTHCARE SERVICES, INC

CA 059368 THA HOME HEALTH CARE INC

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Page 466: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

750 ALFRED NOBEL DR,

SUITE 204

HERCULES 94547 5106478057

648 SOUTH BARRANCA AVE COVINA 91723 9095930900

18455 BURBANK BLVD, STE

407

TARZANA 91356 8187862489

2092 OMEGA ROAD, SUITE J SAN RAMON 94583 4087861035

2251 SAN DIEGO AVENUE SAN DIEGO 92110 6192232779

16 CORNING AVENUE, SUITE

246

MILPITAS 95035 4082492475

14101 VALLEY HEART DR,

STE 200

SHERMAN OAKS 91423 8188944151

4448 EAGLE ROCK BLVD

SUITE F

LOS ANGELES 90041 8184485500

1590 OAKLAND ROAD, SUITE

B114

SAN JOSE 95131 4084373054

1036 N LAKE ST BURBANK 91502 8188434444

3807 WILSHIRE BLVD, SUITE

920

LOS ANGELES 90010 2133815552

851 BURLWAY ROAD, SUITE

215

BURLINGAME 94010 6503758223

1429 E THOUSAND OAKS

BLVD, STE 207

THOUSAND OAKS 91362 8052303838

5050 PALO VERDE STREET

SUITE 201

MONTCLAIR 91763 9093981520

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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02/10/2012

05/03/2011

08/08/2011

09/12/2011

12/28/2011

01/26/2012

11/15/2011

11/30/2011

02/21/2012

11/02/2011

10/26/2011

01/06/2012

03/02/2012

07/19/2011

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Page 473: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059369 LOVING CARE TO YOU

CA 059370 EVERLOVING HOME HEALTH, INC.

CA 059371 PROHEALTH HOMECARE AGENCY, INC

CA 059373 RIVER VALLEY HOME HEALTH

CA 059374 ODOS HOME HEALTH INC

CA 059375 HEALTHY LIVING AT HOME, INC.

CA 059376 CARE PLUS HOME HEALTH

CA 059377 PROMPT HOME HEALTH, INC

CA 059378 COMPASSIONATE CARE HOME HEALTH,

INC.

CA 059379 VALLEY'S BEST HOME HEALTH, INC

CA 059381 AMITY HOME HEALTH CARE INC

CA 059382 SEQUOIA HOME HEALTH, INC

CA 059383 CROSS CARE, INC

CA 059385 HEALTHY LIVING AT HOME, INC

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Page 474: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

7 MT LASSEN DRIVE SUITE D-

116

SAN RAFAEL 94903 4154995100

22151 VENTURA BLVD SUITE

100

WOODLAND HILLS 91364 8185644718

11755 VICTORY BLVD, SUITE

290

NORTH HOLLYWOOD 91606 8187601960

149350 UKIAH TRAIL, SUITE

102

BIG RIVER 92242 7606655255

9225 DOWDY DRIVE, SUITE

218

SAN DIEGO 92126 8582296209

1111 BAYHILL DR SUITE 140 SAN BRUNO 94066 6503325008

22931 TRITON WAY, SUITE

236

LAGUNA HILLS 92653 9494213686

5300 SANTA MONICA BLVD,

STE 201

LOS ANGELES 90029 3234640300

2235 NORTH LAKE AVE.,

SUITE 209

ALTADENA 91001 6267913300

130 COOK AVENUE SUITE

105

PASADENA 91107 6263564292

27171 CALAROGA AVENUE,

SUITES 100, 4 & 5

HAYWARD 94545 5107859088

900 POLLASKY AVE CLOVIS 93612 5597654315

4055 WILSHIRE BLVD, SUITE

205

LOS ANGELES 90010 2133843711

2450 VENTURE OAKS WAY,

SUITE 220

SACRAMENTO 95834 4087812023

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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01/16/2012

01/06/2012

12/12/2011

03/28/2012

03/14/2012

03/09/2012

09/27/2011

09/21/2010

02/02/2012

12/13/2011

04/05/2012

02/29/2012

01/06/2012

05/10/2012

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Page 481: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059386 ZELOMARA PLUS HOME HEALTH, INC

CA 059387 ABC HOME HEALTH CARE LLC D/B/A

BRIDGE HOME HEALTH

CA 059388 PREMIER HEALTHCARE SERVICES, LLC

CA 059389 EXCELLENCE HOME HEALTH PROVIDER,

INC

CA 059390 UNIFIED CARE PROVIDERS, INC

CA 059391 MODERN HOME HEALTH CARE INC

CA 059392 PROHEALTH HOME CARE, INC

CA 059393 ABLE HANDS HOME HEALTH SERVICES

CA 059394 M.G.A. HOME HEALTH SERVICES, INC.

CA 059395 NCA HOME HEALTH CARE, INC

CA 059396 KIND HANDS, INC

CA 059397 GUARDIAN ANGEL HOME CARE INC

CA 059398 VITAL CARE HEALTH SYSTEMS

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Page 482: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

SUITE 220

520 N BROOKHURST ST

SUITE 202

ANAHEIM 92801 6572309245

6390 GREENWICH DRIVE,

SUITE 225

SAN DIEGO 92122 6027903300

338 VIA VERA CRUZ, SUITE

210

SAN MARCOS 92078 7607440215

4050 KATELLA AVE STE # 204 LOS ALAMITOS 90720 7149056708

6 VENTURE, SUITE 210 IRVINE 92618 9497880907

3130 BONITA ROAD, SUITE

103

CHULA VISTA 91910 6194766619

2125 OAK GROVE ROAD,

SUITE 124 A & B

WALNUT CREEK 94598 9258919932

517 EAST WILSON AVE, #203

B

GLENDALE 91206 8189569954

2112 WEST WHITTIER BLVD,

SUITE 104

MONTEBELLO 90640 3237270503

10523 BURBANK BLVD, #109 NORTH HOLLYWOOD 91601 8189801180

12340 SANTA MONICA

BLVDSUITE 227

LOS ANGELES 90025 3103833706

647 EAST E STREET, SUITE

105

ONTARIO 91764 9099830120

444 CAMINO DEL RIO SOUTH,

SUITE 219

SAN DIEGO 92108 6192917888

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Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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02/08/2012

06/04/2012

04/20/2012

12/09/2011

01/11/2012

06/14/2012

07/03/2012

02/07/2012

01/29/2012

11/15/2011

08/17/2011

01/18/2012

07/13/2012

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Page 489: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059399 SIGNATURE HOME HEALTH CARE, INC

CA 059400 HOME HEALTH 2U, INC

CA 059401 CAREONE HOME HEALTH AND HOSPICE,

INC

CA 059402 A1 UNLIMITED HOME HEALTH CARE, INC

CA 059403 GUARDIAN ANGEL HOME CARE, INC

CA 059404 GENTLE TOUCH HOME HEALTH CARE, INC.

CA 059405 COASTAL CARE, INC

CA 059406 WE CARE HOME HEALTH, INC

CA 059407 AMAX HOME HEALTH INC

CA 059454 NEXUS HOME HEALTH, INC

CA 059408 BLUE RIBBON HOME HEALTH, INC

CA 059409 HOME HEALTH PLUS SERVICES, INC

CA 059410 HARVARD HEALTH SERVICES, INC

CA 059411 VALLEY CARE HOME HEALTH, INC.

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Page 490: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

9025 WILSHIRE BLVD, SUITE

205

BEVERLY HILLS 90211 3102780104

273 W. ALAMEDA AVE BURBANK 91502 8185020200

2813 COFFEE ROAD,

BUILDING C-2

MODESTO 95355 2096328888

4430 SANTA MONICA

BOULEVARD, SUITE 203

LOS ANGELES 90029 3232858169

2030 EAST 4TH STREET, #132 SANTA ANA 92705 7145427700

6342 COLDWATER CANYON

AVE.

N HOLLYWOOD 91606 8183813565

21707 HAWTHORNE BLVD,

SUITE 106

TORRANCE 90503 3105433211

2740 MAGNOLIA BLVD SUITE

206

BURBANK 91505 8188028343

22750 HAWTHORNE BLVD

SUITE 211

TORRANCE 90505 3103738885

141 SOUTH A STREET, SUITE

#101

OXNARD 93033 8054837540

4020 WEST MAGNOLIA BLVD,

SUITE I

BURBANK 91505 8188451900

50 EAST FOOTHILL BLVD,

STE 201

ARCADIA 91006 6263434336

126 SOUTH JACKSON ST,

SUITE 205

GLENDALE 91205 8185029996

353 E ANGELENO AVE, STE J BURBANK 91502 8185563611

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

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01/21/2012

04/11/2012

06/25/2012

12/15/2011

11/28/2011

02/02/2012

04/11/2012

02/03/2012

03/12/2012

10/10/2012

01/26/2012

05/12/2011

04/18/2012

04/30/2012

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Page 497: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059412 SANITY HOME HEALTH SERVICES, INC

CA 059413 WE CARE HOME CARE AND HOSPICE, INC.

CA 059414 ADVANCED HOME HEALTH SAN DIEGO INC

CA 059415 DIRECT PROVIDER OF HEALTHCARE

SERVICES, INC

CA 059416 ADVANCED HOME CARE SERVICES, INC

CA 059417 ARISE HOME CARE CORP

CA 059418 HEALTHWISE HOME HEALTH CARE INC

CA 059420 ALL AMERICANS CHOICE HOME HEALTH

INC

CA 059422 CALCARE HOME HEALTH CARE & HOSPICE,

INC.

CA 059423 CALIFORNIA NURSING CARE SERVICES INC

CA 059425 COLUMBIA EXCEL HOME HEALTH CARE

CA 059426 THERAPEUTIC HOME HEALTHCARE

CA 059427 ALLWELL MEDICAL SERVICES, INC

CA 059428 AVERY HOME HEALTH AGENCY, INC

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10501 SOUTH WESTERN

AVENUE

LOS ANGELES 90047 3102595207

46723 FREMONT

BOULEVARD

FREMONT 94538 5106512100

8996 MIRAMAR ROAD, SUITE

220

SAN DIEGO 92126 8586738880

9320 BASELINE ROAD SUITE

B

RANCHO

CUCAMONGA

91701 9094838311

981 CORPORATE CENTER

DRIVE, STE 215

POMONA 91768 6268505060

1420 N. CLAREMONT BLVD,

UNIT 203B

CLAREMONT 91711 9096252502

1615 SWEETWATER ROAD,

SUITE 1

NATIONAL CITY 91950 6194744699

2619 S WATERMAN AVENUE

SUITE C

SAN BERNARDINO 92408 9094209277

455 HICKEY BOULEVARD

SUITE 505B

DALY CITY 94015 6507567712

10970 ARROW ROUTE, SUITE

205

RANCHO

CUCAMONGA

91730 9099897700

7325 MEDICAL CENTER

DRIVE, SUITE 307

WEST HILLS 91307 8187040301

5150 N SIXTH STREET, STE

110

FRESNO 93710 5592248585

904 NORTH LA BREA AVE#2 INGLEWOOD 90302 3106731500

2781 SATURN ST, SUITE A BREA 92821 7149315947

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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04/24/2012

07/06/2012

07/20/2012

03/28/2012

01/13/2012

08/15/2012

09/19/2012

04/25/2012

08/30/2012

07/26/2012

04/20/2012

08/31/2012

08/31/2012

05/18/2012

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Page 505: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059429 FIRST RESPONSE HOME CARE, INC

CA 059430 SANTA HOME HEALTH CARE, INC.

CA 059431 SHERMAN HOME HEALTH CARE LLC

CA 059432 ARGUS HOME HEALTH, INC

CA 059433 PRECISE HOME HEALTH CARE, INC.

CA 059434 AMAX CARE SERVICES, INC

CA 059435 TRI-VALLEY HOME HEALTH CARE, INC

CA 059436 THE CARING CONNECTION, INC

CA 059455 KENO HOME HEALTH AGENCY LLC

CA 059437 PANACEA GROUP, INC

CA 059438 I&V HOME HEALTH, INC.

CA 059439 DEVOTED NURSES HOME HEALTH CARE,

INC

CA 059440 GENTLE TOUCH HEALTH SERVICES, INC

CA 059441 GOLDEN PACIFIC HOME HEALTH, INC

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150 EAST OLIVE AVE, SUITE

307

BURBANK 91502 8185661605

8281 MELROSE AVE, SUITE

205

LOS ANGELES 90046 3239333656

596 N LAKE AVENUE, #203 PASADENA 91101 8556166026

13746 VICTORY BOULEVARD,

SUITE 215

VAN NUYS 91401 8187822939

1241 S GLENDALE AVE,

SUITE 301

GLENDALE 91205 8187219609

936 CRENSHAW BLVD SUITE

203

LOS ANGELES 90019 3239510616

37 W YOKUTS AVE, SUITE C2 STOCKTON 95207 2099570708

10727 WHITE OAK AVE SUITE

206

GRANADA HILLS 91344 8183685007

8429 WHITE OAK, SUITE 102 RANCHO

CUCAMONGA

91730 9099488562

3786 LA CRESCENTA AVE

SUITE 105

GLENDALE 91208 8182430010

336 N CENTRAL AVE, SUITE 8 GLENDALE 91203 8182433368

5627 SEPULVEDA BLVD,

SUITE 215

VAN NUYS 91411 8189090228

11755 VICTORY BLVD, STE

203

N HOLLYWOOD 91606 8187811700

1151 HARBOR BAY ALAMEDA 94502 5103732799

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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06/04/2012

05/18/2012

04/19/2012

11/21/2011

05/16/2012

06/11/2012

11/06/2012

06/26/2012

01/10/2013

05/19/2012

04/13/2012

06/21/2012

06/18/2012

11/26/2012

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CA 059442 GOLDEN STATE HOME HEALTH CARE

CA 059443 CORE HOME HEALTH AGENCY, INC

CA 059445 EGEIA HOME HEALTH, INC.

CA 059446 PRIORITY HEALTH GROUP, INC.

CA 059447 ABSOLUTE HOME HEALTH INC

CA 059448 AFFINITY HEALTH CARE PROVIDERS, INC

CA 059449 TOP LINE HOME HEALTHCARE, INC

CA 059450 NEIGHBOR CARE HOME HEALTH

CA 059452 ALPHA HOME HEALTH

CA 059453 GANDSE HOME HEALTH CARE INC.

CA 059456 HEAVENLY HOME HEALTH INC

CA 059457 SILVER STAR HOME HEALTH, INC

CA 059458 SUNRISE HOME HEALTH CARE PROVIDER,

INC

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PARKWAY, SUITE 122

324 E 11TH STREET, SUITE H-

3

TRACY 95376 2098322224

421 ARDEN AVENUE, SUITE B GLENDALE 91203 8186372673

1101 E. BROADWAY AVENUE

SUITE 102

GLENDALE 91205 8182438408

511 EAST HARVARD ST.,

SUITE 2

GLENDALE 91205 8185000042

4740 MURPHY CANYON

ROAD, SUITE 222

SAN DIEGO 92123 8585412000

1551 COLORADO BLVD,

SUITE 203

LOS ANGELES 90041 3232599821

2525 COLORADO B LVD,

SUITE B

LOS ANGELES 90041 3237390360

2955 E HILLCREST DRIVE,

SUITE 123

WESTLAKE VILLAGE 91362 8054968183

3333 CONCOURS ST BLDG #7

SUITE 7100

ONTARIO 91764 9094668200

26302 WESTERN AVE, SUITE

4

LOMITA 90717 3103445924

805 EAST BROADWAY, SUITE

H

GLENDALE 91205 8185009007

1007 SOUTH CENTRAL

AVENUE, SUITE 212

GLENDALE 91204 8182919437

2211 SOUTH HACIENDA

BLVD, #210

HACIENDA HEIGHTS 91745 6269798888

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/16/2012

05/09/2012

05/31/2012

07/09/2012

11/26/2012

08/06/2012

08/23/2012

11/15/2012

09/10/2012

10/15/2012

09/28/2012

08/08/2012

07/31/2012

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INC

CA 059459 PLEASANT HOME HEALTH CARE, INC.

CA 059460 RIGHT CHOICE HOME HEALTH, INC.

CA 059461 ACE HOME HEALTH CARE & HOSPICE, INC

CA 059462 FARALLON HOME HEALTH CARE, LLC

CA 059463 SWEET ANGELS HOME HEALTH PROVIDER,

INC

CA 059464 LORIAN HEALTH

CA 059465 TOTAL CARE HOME HEALTH CARE, INC

CA 059466 SAN LORENZO HOME HEALTH

CA 059467 STEWARD HOME HEALTH AGENCY, INC.

CA 059468 VIGILANS HOME HEALTH SERVICES, INC

CA 059469 APPLE HEALTHCARE INC

CA 059470 NOVA CARE HOME HEALTH SERVICES, INC

CA 059471 BLOSSOM RIDGE HOME HEALTH AGENCY

CA 059474 HEALTHY LIVING AT HOME-SAN DIEGO, LLC

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BLVD, #210

1516 NORTH SAN FERNANDO

BLVD, STE 206

BURBANK 91504 8186011380

6365 VAN NUYS BLVD, UNIT 3

AND 4

VAN NUYS 91401 8187866630

85 MORAGA WAY, SUITE

100B

ORINDA 94563 9259339012

800 AIRPORT BOULEVARD,

SUITE 412

BURLINGAME 94010 6507794700

3443 RAMONA AVENUE,

SUITE 23

SACRAMENTO 95826 9169991429

7888 MISSION GROVE PKWY

S, STE 140

RIVERSIDE 92508 9518133700

178 S VICTORY BLVD STE 207 BURBANK 91502 8188422273

4021 N FRESNO STREET #105 FRESNO 93726 5592300516

16446 WOODRUFF AVE,

SUITE B

BELLFLOWER 90706 5628696723

101 E REDLANDS BLVD

SUITE 220

REDLANDS 92373 9095834291

9613 ARROW ROUTE BLDG 3

SUITE K

RANCHO

CUCAMONGA

91730 9095274690

191 SAND CREEK ROAD,

SUITE 202 M & N

BRENTWOOD 94513 9252402334

520 9TH STREET, SUITE 240 SACRAMENTO 95817 8009916147

9444 WAPLES STREET, SUITE SAN DIEGO 92121 8558048560

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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06/22/2012

07/24/2012

12/12/2012

02/08/2013

02/14/2013

02/07/2012

07/11/2012

10/23/2012

10/19/2012

08/30/2012

11/26/2012

01/31/2013

03/27/2013

04/17/2013

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Page 529: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059475 ST. PATRICK HOME HEALTH PROVIDERS,

INC

CA 059476 ADVANTAGE HEALTH SYSTEMS

CA 059477 CROWN HOME HEALTH CORPORATION

CA 059478 ALL IN ONE HOME HEALTH AGENCY INC

CA 059480 HEALTHPEAK HOME HEALTH INC

CA 059481 GOLDEN STATE HOME HEALTH, LLC

CA 059482 ONORIA HEALTH CARE PROVIDER INC

HOME HEALTH AND HO

CA 059483 SACRED HEART HEALTH CARE PROVIDERS

INC

CA 059484 PARAGON HOME HEALTH CARE & HOSPICE,

INC.

CA 059485 PROMED CARE HOME HEALTH, INC.

CA 059486 POMONA VALLEY HOME CARE, INC

CA 059487 GET WELL HOME HEALTH, INC

CA 059488 MID VALLEY HOME HEALTH CARE, INC.

CA 059489 ECLIPSE HOME HEALTH CARE, INC

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450

25 N 14TH STREET, SUITE

660

SAN JOSE 95112 8862822057

4100 LATHAM STREET, STE D RIVERSIDE 92501 9516860003

1411 RIMPAU AVENUE, SUITE

#204

CORONA 92879 9517341200

435 ORANGE SHOW LN

SUITE 202

SAN BERNARDINO 92408 9098888224

1486 S IMPERIAL AVENUE EL CENTRO 92243 7603523108

7700 EDGEWATER DRIVE,

SUITE 800

OAKLAND 94621 5106069902

5050 PALO VERDE STREET

SUITE 119

MONTCLAIR 91763 9096262859

758 N 2ND STREET EL CAJON 92021 6194444986

920 HILLVIEW COURT, SUITE

170 B

MILPITAS 95035 4089451100

6260 LAUREL CANYON

BOULEVARD, SUITE 203

N HOLLYWOOD 91606 8185088112

1109 VIA VERDE SAN DIMAS 91773 9093949400

4502 DYER ST, SUITE 105 LA CRESCENTA 91214 8186277699

7220 WOODMAN AVENUE,

SUITE 206

VAN NUYS 91405 8187813175

13758 VICTORY BLVD, STE

206

VAN NUYS 91401 8187822114

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

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03/27/2013

11/27/2012

04/17/2012

03/21/2013

03/12/2013

02/19/2013

03/12/2013

03/26/2013

03/15/2013

01/08/2013

02/09/2013

12/20/2012

12/20/2012

07/30/2012

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CA 059490 NEW LIFE HOME HEALTH SERVICES

CA 059492 MEDICS CHOICE HOME HEALTH, INC.

CA 059493 EMERALD TRIUNE HOME HEALTH

SERVICES, INC

CA 059494 ADVANCE SPECIALTY CARE, LLC

CA 059495 ST JUDE HOME HEALTH AGENCY

CA 059496 CAREONE HOME HEALTH - BAY AREA, INC

CA 059497 CRYSTALCARE HOME HEALTH, INC

CA 059498 PIONEER HOME HEALTH SERVICES, INC

CA 059499 DIAMOND HOME HEALTH SERVICES, INC

CA 059501 CALICARE HOME HEALTH SERVICES, INC

CA 059503 ELITE HOME CARE

CA 059504 AID HOME HEALTH CARE, INC

CA 059505 NOBLE HOME HEALTH, INC

CA 059506 PREMIER HOME HEALTH CARE & HOSPICE

INC

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206

17111 BEACH BLVD, SUITE

210

HUNTINGTON BEACH 92647 9498709305

1649A S MAIN STREET MILPITAS 95035 4082628801

330 W FELICITA AVENUE ESCONDIDO 92025 7602949680

3470 WILSHIRE BOULEVARD

#600

LOS ANGELES 90010 2137391155

4725 FIRST STREET, SUITE

274

PLEASANTON 94566 9254743439

2178 RHEEM DRIVE, SUITE C PLEASANTON 94588 9256057355

442 WEST BROADWAY GLENDALE 91203 8189568761

20110 PIONEER BLVD, UNIT C CERRITOS 90703 5629246400

1200 SOUTH DIAMOND BAR

BLVD SUITE 213

DIAMOND BAR 91765 9098602100

457 WEST COLORADO ST

SUITE 203

GLENDALE 91204 8183107777

500 NORTH CENTRAL AVE,

SUITE 935

GLENDALE 91203 8185008778

1007 SOUTH CENTRAL AVE,

SUITE 208

GLENDALE 91204 8182424979

2609 WEST WYOMING AVE,

SUITE B

BURBANK 91505 8185990805

2150 RIVER PLAZA DRIVE,

SUITE 320B

SACRAMENTO 95833 9164864262

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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01/28/2013

05/31/2013

03/08/2013

09/24/2012

05/23/2013

05/30/2013

05/24/2013

12/08/2012

01/09/2013

03/22/2013

01/29/2013

03/19/2013

11/09/2012

05/23/2013

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INC

CA 059507 BAYHEALTH, INC

CA 059508 QUALITY CLINICIANS CARE HOME HEALTH

SERVICES LLC

CA 059509 LIFEGUARD HOME HEALTH SOUTHBAY &

PENINSULA

CA 059510 AMERICAN HOSPICE AND HOME HEALTH

CARE SERVICES INC

CA 059511 ADVANTAGE HEALTH SYSTEMS

CA 059512 PREMIER HEALTHCARE SERVICES, LLC

CA 059513 COMFORT HOME HEALTH CARE, LLC

CA 059514 CALIFORNIA HOME HEALTH

CA 059515 WEST COAST HOME HEALTH

MANAGEMENT, INC

CA 059516 HEALTHY LIVING AT HOME- FRESNO, LLC

CA 059517 HARMONY HOME HEALTH

CA 059518 MARIE STAR HOME HEALTH SERVICES, LLC

CA 059519 GERIACARE HOME HEALTH, INC

CA 059542 NUR HOME HEALTH CARE, INC.

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SUITE 320B

30 UNION AVENUE, SUITE

126

CAMPBELL 95008 4086898132

4699 OLD IRONSIDES DRIVE,

SUITE 400

SANTA CLARA 95054 4088996766

960 JACKLIN ROAD MILPITAS 95035 4086492370

6850 REGIONAL STREET,

SUITE 100B

DUBLIN 94568 9252406300

151 KALMUS DRIVE, SUITE D-

101

COSTA MESA 92626 7145575506

25129 THE OLD RD SUITE 320 STEVENSON RANCH 91381 6612531100

1650 ZANKER ROAD, SUITE

244

SAN JOSE 95112 4084525927

217 W ALAMEDA AVENUE

SUITE 202

BURBANK 91502 8182389995

13746 VICTORY BLVD, STE

311

VAN NUYS 91401 8189940200

1318 E SHAW AVE, STE 100 FRESNO 93710 8889834134

1292 KIFER ROAD, SUITE 807 SUNNYVALE 94086 4082607062

1849 WILLOW PASS RD CONCORD 94520 9258081082

720 SUNRISE AVENUE, SUITE

202C

ROSEVILLE 95661 9162186001

1905 VICTORY BLVD, #11 GLENDALE 91201 8185661300

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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07/03/2013

07/09/2013

07/29/2013

04/29/2013

04/26/2013

02/28/2013

08/24/2013

05/03/2013

04/25/2013

11/08/2013

07/16/2013

06/25/2013

07/03/2013

07/02/2013

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CA 059520 PEACE HOME HEALTH

CA 059521 GHC HOME HEALTH INC

CA 059522 UNIVERSAL PREVENTIVE HOME HEALTH

CARE, INC

CA 059523 CERTIFIED HOME HEALTH CARE INC

CA 059524 GUARDIAN HOME HEALTH CARE &

HOSPICE, INC

CA 059525 TENDER HOME HEALTH

CA 059526 PREMIER HEALTHCARE SERVICES, LLC

CA 059527 HEELAS HEALTH CARE SERVICES INC

CA 059528 ALLIED HOME HEALTH CORP

CA 059578 LEGEND HOME HEALTH, INC

CA 059529 GUARDIAN ANGEL HOME HEALTH INC

CA 059530 AMENITY HEALTH SERVICES, INC

CA 059531 LAGUNA HOME HEALTH SERVICES, INC

CA 059532 ADVANCED NURSES PLUS HOME HEALTH

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2420 WEST CARSON STREET

SUITE 200

TORRANCE 90501 3102126200

350 W 5TH STREET SUITE

103

SAN BERNARDINO 92401 9515454462

2139 TAPO ST SIMI VALLEY 93063 8055268800

585 E LOS ANGELES AVE STE

H

SIMI VALLEY 93065 8055776756

39055 HASTINGS STREET,

SUITE 202B

FREMONT 94538 5107428700

10117 SEPULVEDA BLVD.,

STE. 205A

MISSION HILLS 91345 8188948974

950 S BASCOM AVENUE,

SUITE 3113

SAN JOSE 95128 4082886700

2777 ALVARADO STREET,

SUITE G

SAN LEANDRO 94577 5102442401

9602 LAS TUNAS #207 TEMPLE CITY 91780 6262974842

3510 TORRANCE BLVD,

SUITE 111

TORRANCE 90503 3105404059

717 S. VICTORY BLVD., STE A BURBANK 91502 8185592300

12722 RIVERSIDE DR, STE

209

VALLEY VILLAGE 91607 8185091805

25401 CABOT ROAD, SUITE

117

LAGUNA HILLS 92653 9497075023

5122 KATELLA AVE, SUITE

201

LOS ALAMITOS 90720 5625981888

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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04/01/2013

08/23/2013

07/25/2013

07/25/2013

09/12/2013

09/28/2012

10/09/2013

08/02/2013

11/21/2012

12/20/2013

07/19/2013

05/23/2013

07/03/2013

07/12/2013

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CA 059533 ADULT CARE HOME HEALTH AGENCY, INC.

CA 059534 SOCAL HEALTH SERVICES, INC.

CA 059535 DELTA HOME HEALTH, INC

CA 059536 HEALTHY LIVING AT HOME - EAST BAY, LLC

CA 059537 COMFORT ASSISTING, INC

CA 059538 NOR-CAL PROFESSIONAL HOME HEALTH

CARE SERVICES, IN

CA 059540 SERENE HOME HEALTHCARE, INC.

CA 059541 EXECUTIVE HOME HEALTH, INC

CA 059543 OPTIMUM HOME HEALTH CARE SERVICES,

INC.

CA 059544 BRIGHT HORIZON HOME HEALTH

CA 059545 PURPOSE DRIVEN HOME HEALTH, LLC

CA 059546 BEST HOME HEALTH PROVIDERS, INC

CA 059547 FOOTHILL HOME HEALTH CARE, INC

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201

1007 S CENTRAL AVENUE

SUITE 103

GLENDALE 91204 8186962270

2829 N GLENOAKS BLVD,

SUITE 202

BURBANK 91504 8185633300

9948 HIBERT STREET, SUITE

105

SAN DIEGO 92131 8585649628

1320 WILLOW PASS ROAD,

SUITE 715

CONCORD 94520 8775137363

112 LA CASA VIA, SUITE 160 WALNUT CREEK 94598 9259333200

1075 S. WINCHESTER

BOULEVARD

SAN JOSE 95128 4082446700

4340 ALMADEN

EXPRESSWAY, SUITES 204

AND 206

SAN JOSE 95118 4084488877

750 SOUTH RAYMOND AVE,

SUITE 123

PASADENA 91105 6262276218

500 E CARSON PLAZA DR

SUITE 209

CARSON 90746 3237797898

6215 N FRESNO STREET,

SUITE 103

FRESNO 93710 5594320707

2116 24TH STREET, SUITE 1 BAKERSFIELD 93301 6614129730

26232 INDUSTRIAL

BOULEVARD

HAYWARD 94545 5107831274

13047 ARTESIA BLVD STE C- CERRITOS 90703 5624748555

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Government - Local

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03/18/2013

07/26/2013

11/07/2013

08/27/2013

12/07/2013

10/21/2013

10/09/2013

06/04/2013

08/21/2013

05/10/2014

08/15/2013

09/23/2013

09/11/2013

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Page 569: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059550 ANGELCARE HOME HEALTH PROVIDERS,

INC

CA 059551 HEALTHFLEX HOME HEALTH SERVICES

CA 059552 INLAND WELLNESS HEALTH CARE INC

CA 059553 CENTRAL COAST HEALTHCARE SERVICES

INC

CA 059554 CARE IN TOUCH HOME HEALTH AGENCY

CA 059555 CITY OF DREAMS HOME HEALTHCARE, INC

CA 059557 SOTERIA HOME HEALTH AGENCY, INC.

CA 059558 TRANSITIONS HOME HEALTH, INC.

CA 059559 CENTRAL CALIFORNIA HOME HEALTH, INC.

CA 059560 PREMIER HEALTHCARE SERVICES, LLC

CA 059561 PRIMELIVING HOME HEALTH, INC

CA 059562 RAFAELLA HOME HEALTH CARE, INC

CA 059563 A-QUEST HEALTH CARE, INC

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114

710 RAMPAU AVENUE, SUITE

#202

CORONA 92879 9517388282

303 HEGENBERGER ROAD,

SUITE 388

OAKLAND 94621 5105531900

869 E FOOTHILL BLVD SUITE

I-B

UPLAND 91786 9095790077

346 KANAN ROAD, SUITE 202 OAK PARK 91377 8054974507

41829 ALBRAE STREET,

SUITE 218

FREMONT 94538 5106518500

5924 E LOS ANGELES

AVENUE SUITE P

SIMI VALLEY 93063 8055203036

959 N. LA BREA AVENUE INGLEWOOD 90302 3106726200

23601 AVALON BLVD, SUITE

207

CARSON 90745 3105130687

22736 VANOWEN STREET,

SUITE 100

WEST HILLS 91307 8184194634

1370 W CAMERON AVE,

SUITE 120

WEST COVINA 91790 6263373444

48521 WARM SPRINGS

BOULEVARD, SUITE 307A

FREMONT 94539 5107709810

14328 VICTORY BLVD, STE

209

VAN NUYS 91401 8185100925

6560 VAN BUREN BLVD,

SUITE #H

RIVERSIDE 92503 6263832929

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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11/30/2012

12/24/2013

09/03/2013

08/06/2013

10/04/2013

05/09/2013

11/13/2013

12/19/2013

02/11/2013

06/28/2013

04/15/2014

10/23/2013

12/04/2013

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CA 059564 CVH CARE

CA 059577 VIDA HOME HEALTH SERVICES INC

CA 059566 SUPREME HOME HEALTH AGENCY INC

CA 059567 BLUE DIAMOND HOME HEALTH PROVIDER

CA 059568 ALTERNATIVE HEALTH CARE, LLC

CA 059569 FOUNDING FATHERS HEALTH CARE, INC

CA 059570 RODAVI HOME HEALTH CARE INC.

CA 059571 A-BIZ HEALTH SYSTEMS

CA 059572 EASY LIFE HOME HEALTH CARE, INC.

CA 059573 KNA HOME HEALTH, INC

CA 059574 1 & 1 HOME HEALTH, INC

CA 059575 VALLEY REGIONAL HOME HEALTH, INC

CA 059576 CARINGMINDS SERVICES, INC

CA 059579 HEALTHY LIVING AT HOME - REDDING LLC

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SUITE #H

111 ANZA BLVD, SUITE 104 BURLINGAME 94010 6506895454

1010 W MAGNOLIA BLVD,

SUITE 102

BURBANK 91506 8182375522

28924 OLD TOWN FRONT

STREET, SUITE #108

TEMECULA 92590 9519723038

1135 EAST ROUTE 66, SUITE

209

GLENDORA 91740 6265944990

14752 BEACH BLVD SUITE

101

LA MIRADA 90638 7145223070

1307 W 6TH ST SUITE 205 CORONA 92882 6262569060

440 W COLORADO ST AVE

SUITE 103

GLENDALE 91204 8182398161

14431 HAMLIN ST SUITE 201 VAN NUYS 91401 8186546874

425 S VICTORY BLVD, STE A BURBANK 91502 8182858090

14328 VICTORY BLVD, STE

205

VAN NUYS 91401 8185747855

1075 YORBA PLACE, SUITE

102

PLACENTIA 92870 8009407659

7498 N REMINGTON, SUITE

101

FRESNO 93711 5595544772

454 EAST CARSON PLAZA

DR, SUITE 216

CARSON 90746 3103245400

2155 LARKSPUR LANE UNIT B REDDING 96002 5306053731

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

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05/26/2014

12/06/2013

03/06/2013

12/20/2013

10/04/2013

10/22/2013

09/25/2013

01/10/2014

01/24/2014

01/10/2014

02/14/2014

08/15/2014

01/01/2014

03/21/2014

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CA 059580 ABA HOME CARE INC

CA 059581 REMEDY HOME CARE

CA 059582 NOYAN HOME HEALTH CARE INC.

CA 059583 ALLIANCE HOME HEALTH CARE SERVICES,

INC.

CA 059584 ADEQUATE CARE HOME HEALTH

CA 059585 ACTIVE PLUS HOME HEALTH CARE, INC

CA 059586 ABSOLUTE CARE HEALTH SYSTEMS INC

CA 059587 HOLISTIC CARE AT HOME, INC

CA 059588 N YOUR HOME HEALTH CARE

CA 059589 COASTAL LIVING HOME HEALTH, LLC

CA 059590 LIGHTHOUSE HOME HEALTH CARE, INC

CA 059620 SOUTH SPRINGS HOME HEALTH CARE

CA 059621 PRIME MED HOME HEALTH AGENCY INC

CA 059591 COTTAGE HOME HEALTH, INC

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7400 EL CAJON BLVD, SUITE

205

LA MESA 91942 6197549500

3447 W SHAW AVE FRESNO 93711 5597427000

116 EAST BROADWAY SUITE

201

GLENDALE 91205 8185079300

315 ARDEN AVE SUITE 30 GLENDALE 91203 8182414444

121 SOUTH GLENOAKS BLVD

UNIT 1

BURBANK 91502 8182953814

14540 VICTORY BLVD, SUITE

212

VAN NUYS 91411 8187828822

7940 SILVERTON AVENUE,

SUITE 202

SAN DIEGO 92126 8586934350

5707 REDWOOD ROAD,

SUITE 2

OAKLAND 94619 5105305000

515 W MAIN STREET, STE A EL CENTRO 92243 7603522102

200 SOUTH 13TH STREET,

SUITE #211

GROVER BEACH 93433 8059271212

1527 19TH STREET, SUITE

204

BAKERSFIELD 93301 6613744959

1590 OAKLAND ROAD, SUITE

B-213

SAN JOSE 95131 4088834460

32260 ALVARADO BLVD UNION CITY 94587 5104412430

6955 SIERRA COURT, SUITE

204

DUBLIN 94568 9252302742

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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04/14/2014

12/29/2014

03/01/2014

03/26/2014

01/30/2014

04/05/2014

03/20/2014

05/31/2014

03/20/2014

03/27/2014

06/18/2014

10/15/2014

12/05/2014

07/21/2014

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CA 059592 GOLDEN YEARS HOME HEALTH, INC.

CA 059593 GREEN MEADOWS HOME HEALTH CARE,

INC

CA 059594 AMERICARE HOME HEALTH, INC

CA 059595 LORIAN HEALTH

CA 059597 GRACELIGHT HOME HEALTH

CA 059598 ANGELS HOME HEALTH CORPORATION

CA 059599 ICARE HOME HEALTHCARE

CA 059600 CAREMETRIX HOME HEALTH, LLC

CA 059601 WESTWAYS HEALTHCARE, LLC

CA 059602 ANGELUS HOME HEALTH

CA 059603 CONTINUITY PROVIDERS HEALTHCARE,

INC.

CA 059604 J AND S HOME HEALTH SERVICES, INC

CA 059606 AVIA HOME HEALTH SERVICES, INC

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107 WEST HUNTINGTON ST,

SUITE F

ARCADIA 91007 6264452392

1442 IRVINE BLVD, SUITE 104 TUSTIN 92780 7148381055

16501 SHERWAY WAY, STE

225

VAN NUYS 91406 8188810005

27134-B PASEO ESPADA,

SUITE 222

SAN JUAN

CAPISTRANO

92675 9492401155

15475 SENECA ROAD SUITE

C

VICTORVILLE 92392 7602413800

7365 CARNELIAN STREET

SUITE 223

RANCHO

CUCAMONGA

91730 9099450349

1945 CHICAGO AVENUE,

SUITE #B (NORTH)

RIVERSIDE 92507 9512433837

22024 LASSEN STREET,

SUITE 100

CHATSWORTH 91311 8188129693

1811 E CENTER ST, SUITE

101

ANAHEIM 92805 7149561515

9650 BUSINESS CENTER

DRIVE SUITE 118

RANCHO

CUCAMONGA

91730 9099990587

11633 HAWTHORNE BLVD

SUITE 308

HAWTHORNE 90250 3109411475

2525 E COLORADO BLVD,

STE 108

PASADENA 91107 6267447724

1307 WEST 6TH STREET,

SUITE 119-B

CORONA 92882 9512155300

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Government - State/ County

Proprietary

Proprietary

Proprietary

Proprietary

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03/07/2014

10/26/2013

03/11/2014

07/29/2013

06/17/2014

07/01/2014

11/21/2013

03/07/2014

06/18/2014

07/16/2014

04/16/2014

06/25/2014

08/28/2013

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CA 059607 ASSIST ON CALL PROFESSIONAL IN-HOME

CARE SERVICES

CA 059608 ABSOLUTE BEST CARE HOME HEALTH

CA 059609 ALARS HOME HEALTH, LLC

CA 059610 TRIO HOME HEALTH CARE OF SAN DIEGO

INC

CA 059622 NIGHTINGALE HOME HEALTH, INC

CA 059623 P.A.L. LOVING CARE HOME HEALTH, INC.

CA 059611 PREMIER HEALTHCARE SERVICES, LLC

CA 059612 PROHEALTH HOME CARE, INC

CA 059613 PREMIER HEALTHCARE SERVICES, LLC

CA 059614 GUARDIAN ANGEL HOME CARE, INC

CA 059615 CALIFORNIA HOME HEALTH AGENCY

CA 059616 AAA HOME HEALTH INC

CA 059617 COMPREHENSIVE HOME HEALTH CARE &

HOSPICE, INC.

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2100 MONUMENT BLVD,

SUITE 14

PLEASANT HILL 94523 9259697634

9245 LAGUNA SPRINGS

DRIVE, SUITE 200

ELK GROVE 95758 9169288020

4234 N FREEWAY BLVD,

SUITE 200

SACRAMENTO 95834 9166481120

1991 VILLAGE PARK WAY,

SUITE 2L

ENCINITAS 92024 7606328746

150 EAST MONTECITO

AVENUE, SUITE B

SIERRA MADRE 91024 6263552600

210 N CENTRAL AVE SUITE

220

GLENDALE 91203 8182447212

6133 BRISTOL PKWY SUITE

140

CULVER CITY 90230 3106956688

3255 W MARCH LANE, SUITE

105A

STOCKTON 95219 8773115001

200 SOUTH MAIN STREET,

SUITE 120

CORONA 92882 9517354000

5450 RALSTON STREET,

SUITE #109

VENTURA 93003 8056444862

11860 MAGNOLIA AVENUE,

SUITE #J

RIVERSIDE 92503 9513522300

9225 DOWDY DRIVE, SUITE

220

SAN DIEGO 92126 8584904264

127 HOSPITAL DRIVE, SUITE

202 B

VALLEJO 94589 7075444003

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/21/2014

09/03/2014

08/19/2014

11/06/2014

07/03/2014

08/21/2014

06/11/2014

09/04/2014

04/01/2014

07/29/2014

06/12/2014

11/09/2014

10/28/2014

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CA 059618 GEMS HOMEHEALTH CARE SERVICES, INC.

CA 059619 LIVE LIFE HOME HEALTH LLC

CA 059624 A&C HEALTHCARE, INC

CA 059625 SPIRITUAL HOME HEALTH, INC.

CA 059626 ALLSTAR HEALTH PROVIDERS, INC

CA 059627 SUNRISE HOME HEALTH INC.

CA 059628 HELPING HANDS HOME HEALTH CARE &

HOSPICE, INC.

CA 059629 DESTINY HOME HEALTH SERVICES, INC

CA 059630 ORION HOME HEALTH CARE, INC.

CA 059631 DESERT SKY HOME HEALTH

CA 059633 CARE LINK HOME HEALTH SERVICES, INC

CA 059634 ARIAS HOME HEALTH

CA 059635 ASSURANCE HOME CARE

CA 059636 LA BEST HOME HEALTH INC.

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535 N BRAND BLVD STE, 290 GLENDALE 91203 8189379424

79440 CORPORATE CENTER

DRIVE, SUITE 107-C

LA QUINTA 92253 7605786339

20465 EAST VALLEY BLVD WALNUT 91789 9095983725

9608 VAN NUYS BLVD STE

207-A

PANORAMA CITY 91402 8188916333

9521 BUSINESS CENTER

DRIVE, SUITE 9-101

RANCHO

CUCAMONGA

91730 9099459899

2919 W. BURBANK BLVD.

SUITE B

BURBANK 91505 8187634320

1710 S AMPHLETT BLVD,

SUITE 112

SAN MATEO 94402 6502869000

410-412 E FLORENCE

AVENUE

INGLEWOOD 90302 3106722555

10137 RIVERSIDE DRIVE

SUITE B

TOLUCA LAKE 91602 8186491064

12402 INDUSTRIAL BLVD

SUITE A-8

VICTORVILLE 92395 7603832555

2112 EASTMAN AVENUE,

SUITE #110

VENTURA 93003 8056506305

4811 CHIPPENDALE DRIVE,

SUITE 201

SACRAMENTO 95841 9169131134

2255 WATT AVENUE, SUITE

20

SACRAMENTO 95825 9164820700

1101 EAST BROADWAY

SUITE 105

GLENDALE 91205 8182427200

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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08/09/2014

07/16/2014

05/12/2014

01/14/2015

12/19/2014

08/20/2014

11/01/2014

06/16/2014

05/26/2014

10/10/2014

03/16/2015

01/27/2015

03/05/2015

09/26/2014

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Page 617: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059637 BEST NURSES HOME HEALTH, INC

CA 059638 COMPLETE CARE HOME HEALTH

SERVICES, LLC

CA 059639 UNIQUE CARE LOS ANGELES HOME

HEALTH CARE, INC

CA 059640 ETERNITY HOME HEALTH, INC

CA 059641 CAMARILLO HHCA INC

CA 059642 LUXE HOMECARE, INC

CA 059644 ATHOME HEALTHCARE TEAM, LLC

CA 059645 GUARDIAN ANGEL HOME CARE, INC

CA 059646 OLIVE HOME HEALTH CENTER, INC

CA 059647 OMEGA HOME HEALTH CARE SERVICES,

INC

CA 059659 EXPRESS SERVICES HEALTHCARE, INC,

CA 059648 DARANCARE HEALTH CORPORATION

CA 059649 ALWAYS BEST CARE SENIOR SERVICES

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Page 618: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

SUITE 105

17620 SHERMAN WAY, SUITE

215A

VAN NUYS 91406 8188818701

6442 COLDWATER CANYON

AVENUE, SUITE 102

N HOLLYWOOD 91606 8189801641

27001 AGOURA RD, SUITE

185

CALABASAS 91301 8188719518

15859 EDNA PLACE, SUITE

111

IRWINDALE 91706 6263378699

18107 SHERMAN WAY, SUITE

212

RESEDA 91335 8183452200

881 ALMA REAL DRIVE, SUITE

316A

PACIFIC PALISADES 90272 3104545500

100 TOWER ROAD, SUITE 15 AMERICAN CANYON 94503 7072554401

41865 BOARDWALK, SUITE

215

PALM DESERT 92211 7607733524

2222 W MANCHESTER BLVD

SUITE B

INGLEWOOD 90305 3237517000

2049 PACIFIC COAST

HIGHWAY, SUITE 103

LOMITA 90717 3105301100

14429 VENTURA BLVD, STE

103

SHERMAN OAKS 91423 8189909003

4820 ADOHR LANCE, SUITE C CAMARILLO 93012 8055530870

3665 RUFFIN ROAD, SUITE

100

SAN DIEGO 92123 6197571114

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/06/2014

09/09/2014

09/19/2014

08/15/2014

11/18/2014

12/08/2014

05/08/2015

09/16/2014

12/12/2014

01/29/2015

02/09/2015

01/28/2015

04/14/2015

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CA 059650 HOME HEALTH CONNECT, INC

CA 059651 CALIFORNIA CARE HOME HEALTH AGENCY,

INC

CA 059652 MERCURY HOME HEALTH SERVICES, INC

CA 059653 HUMAN TOUCH HOME HEALTH CARE

AGENCY, INC

CA 059655 NATIONWIDE HOME HEALTH CARE, INC

CA 059656 GRACE COMMUNITY HOME HEALTH INC.

CA 059657 FAMILY HERITAGE HOME HEALTH

CA 059658 CAREMORE HOME HEALTH SERVICES, INC.

CA 059660 AAA NURSING SERVICES INC.

CA 059661 KAMELYA HOME HEALTH INCORPORATED

CA 059662 HEALING TOUCH OF CALIFORNIA HOME

HEALTH AGENCY INC

CA 059663 STAR HOME HEALTH

CA 059664 GUARDIAN ANGEL HOME CARE, INC

CA 059665 AMERICAN RIVER HOME CARE

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5924 E LOS ANGELES

AVENUE, SUITE U

SIMI VALLEY 93063 8054195313

315 PONDERA STREET,

SUITE F

LANCASTER 93535 6619170678

2829 N GLENOAKS BLVD

SUITE 104

BURBANK 91504 7472418593

44818 FERN AVE, SUITE 101 LANCASTER 93535 6617264200

20501 VENTURA BLVD, STE

200

WOODLAND HILLS 91364 8186570353

229 POLARIS AVE, SUITE 5 MOUNTAIN VIEW 94043 6507840082

1126 W FOOTHILL BLVD,

SUITE 225

UPLAND 91786 9099206885

235 EAST BROADWAY ST,

SUITE 514

LONG BEACH 90802 5627879995

22148 SHERMAN WAY, STE

203

CANOGA PARK 91303 8187044213

3835 AVOCADO BLVD, SUITE

260

LA MESA 91941 6193038341

8010 WAYLAND LANE, SUITE

1E

GILROY 95020 4088483900

5958 VINELAND AVE, SUITE K N HOLLYWOOD 91601 8188216854

1428 PHILLIPS LANE, SUITE

#B-2

SAN LUIS OBISPO 93401 8055444001

1540 RIVER PARK DR, SUITE

112A

SACRAMENTO 95815 9165158652

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

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06/06/2015

11/16/2014

02/12/2015

09/18/2013

02/23/2015

07/14/2015

04/03/2015

01/17/2015

03/10/2015

08/11/2015

07/14/2015

05/08/2015

06/02/2016

07/03/2015

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Page 633: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059666 CUSTOMCARE HOME HEALTH SERVICES

INC

CA 059667 HEALTHY LIVING AT HOME, INC

CA 059668 LUNA HOME HEALTH, INC

CA 059669 PROGRESS HOME HEALTH, INC

CA 059671 EMMANUEL HEALTHCARE, INC

CA 059672 MEDI-ART HOME HEALTH CARE, INC

CA 059673 ONLYSERVE, INC

CA 059674 PROMESA HOME CARE, INC

CA 059675 RELIANCE HOME HEALTH CARE, INC.

CA 059676 DEISTIC HOME HEALTH CARE, INC

CA 059677 EDEN HOME HEALTH, INC.

CA 059678 PACIFIC HEALTH SERVICES, INC

CA 059679 21ST CENTURY NURSING SERVICES, INC

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112A

9826 BOND ROAD, SUITE A ELK GROVE 95624 9167141155

39899 BALENTINE DRIVE,

SUITE 314

NEWARK 94560 4083240600

14126 SHERMAN WAY, STE

204

VAN NUYS 91405 8189888623

919 1/2 EAST BROADWAY,

SUITE 206

GLENDALE 91205 8184845868

4510 PERALTA BOULEVARD,

SUITE 25

FREMONT 94536 5108944139

2112 W WHITTIER BLVD

SUITE 201

MONTEBELLO 90640 3238385458

3423 INVESTMENT

BOULEVARD, SUITE 1

HAYWARD 94545 5107326460

3978 BROCKTON AVENUE RIVERSIDE 92501 9516823820

333 N SANTA ANITA AVE UNIT

10

ARCADIA 91006 6268577777

327 ARDEN AVE SUITE 201 GLENDALE 91203 8166491475

20944 SHERMAN WAY, SUITE

202

CANOGA PARK 91303 8183240728

3407 W 6TH STREET, SUITE

512

LOS ANGELES 90020 2133879552

2112 W WHITTIER BLVD

SUITE 202 A

MONTEBELLO 90640 3237212300

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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06/04/2015

10/09/2015

05/26/2015

03/23/2015

09/06/2015

07/15/2015

10/22/2015

07/31/2015

07/13/2015

08/08/2015

07/27/2015

08/17/2015

06/07/2015

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Page 641: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059680 VIP HEALTHCARE SERVICES LLC

CA 059681 LUXOR CARE HOME HEALTH SERVICES

CA 059682 ADVANCED HEALTHCARE SERVICES, LLC

CA 059683 PREMIER HOME HEALTH LLC

CA 059684 MAXIM HEALTHCARE SERVICES, INC

CA 059685 FREEDOM HOME HEALTH AND HOSPICE

CARE SERVICES, INC

CA 059686 HEALTHY LIVING AT HOME- MODESTO, LLC

CA 059687 PREMIER HEALTHCARE SERVICES, LLC

CA 059688 OMNICARE HOME HEALTH, INC

CA 059689 DYNAMIX HOME HEALTH

CA 059690 LA GUARDIAN HEALTH CARE INC

CA 059691 TRUSTED HEALTHCARE, INC

CA 059692 GOOD CHOICE HOME HEALTH, INC

CA 059693 PHOENIX HOME HEALTH

CA 059694 MORENO HOME HEALTH SERVICES

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12125 DAY STREET, SUITE

#H306

MORENO VALLEY 92557 9516019101

301 GEORGIA ST VALLEJO 94590 7075618008

39899 BALENTINE DRIVE,

SUITE 315

NEWARK 94560 8554212267

755 NORTH PEACH AVE CLOVIS 93611 5597619656

6475 CHRISTIE AVENUE,

SUITE 350

EMERYVILLE 94608 5109823773

825 9TH ST, SUITE B1 MARYSVILLE 95901 5307424800

2301 COFFEE ROAD, STE 1 MODESTO 95350 2093007898

1000 BURNETT AVENUE,

SUITE 435

CONCORD 94520 9253563333

14000 VAN NESS AVE SUITE

D

GARDENA 90249 3102283141

817 WEST BEVERLY BLVD,

SUITE 206

MONTEBELLO 90640 5629275820

6501 FOOTHILL BLVD, STE

203B

TUJUNGA 91042 8182734254

1811 EAST CENTER ST,

SUITE #201

ANAHEIM 92806 7146876973

1117 N HOLLYWOOD WAY,

STE B

BURBANK 91505 8187480007

2501 W BURBANK BLVD BURBANK 91505 8185577400

12540 HEACOCK STREET, MORENO VALLEY 92553 9512515010

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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05/07/2015

12/11/2015

01/08/2016

10/31/2015

04/01/2000

10/21/2015

10/24/2015

09/21/2015

09/07/2015

08/24/2015

11/17/2015

10/24/2015

11/16/2015

01/15/2016

10/02/2015

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CA 059695 HEALTHY LIVING AT HOME - PALM DESERT,

LLC

CA 059696 HELENIUM HOME HEALTH, INC.

CA 059697 CARE DIMENSIONS OF THE DESERT

CA 059698 ARMING HOME HEALTH, INC

CA 059699 DAYLIGHT HOME HEALTH SERVICES, INC

CA 059700 NEW START HOME HEALTH CARE, INC

CA 059701 TRUSTED LIFE CARE, LLC

CA 059702 NATIONAL HOME HEALTH SERVICES

CA 059703 HEALTHONE PROFESSIONAL ENTITY, LLC

CA 059704 MAJESTIC HOME HEALTH

CA 059705 SEHAJ HOME HEALTH, INC

CA 059706 HORIZON HOME CARE LLC

CA 059707 ASPIRE HOME HEALTHCARE OF NORTHERN

CALIFORNIA, INC

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SUITE 1

41990 COOK STREET, SUITE

801A

PALM DESERT 92211 7608348501

1580 OAKLAND ROAD, SUITE

C210

SAN JOSE 95131 4083262971

74130 COUNTRY CLUB

DRIVE, SUITE 104

PALM DESERT 92260 7604440699

11565 LAUREL CANYON

BLVD, STE 204

SAN FERNANDO 91340 8183614000

225 E BROADWAY BLVD,

SUITE B105

GLENDALE 91204 8189562213

21515 VANOWEN ST, SUITE

205

CANOGA PARK 91303 8187726177

1777 NORTH BELLFLOWER

BLVD, SUITE 207

LONG BEACH 90815 5624987700

13701 RIVERSIDE DR, SUITE

208

SHERMAN OAKS 91423 2136731516

500 E CALAVERAS

BOULEVARD, SUITE 140

MILPITAS 95035 4084697154

16360 MONTEREY STREET,

SUITE 150

MORGAN HILL 95037 4087790100

44790 S GRIMMER

BOULEVARD, SUITE 206

FREMONT 94538 5105732013

2491 ALLUVIAL AVENUE CLOVIS 93611 5598404445

481 PLUMAS BLVD, SUITE 201 YUBA CITY 95991 8587559600

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Proprietary

Proprietary

Proprietary

Proprietary

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11/19/2015

03/24/2016

03/16/2015

09/17/2015

12/11/2015

12/02/2015

01/07/2016

12/11/2015

05/23/2016

03/03/2016

05/10/2016

04/08/2016

03/04/2016

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CALIFORNIA, INC

CA 059708 TRUSTED HANDS HOME HEALTH, INC

CA 059709 LEROSE HOME HEALTH CARE, INC

CA 059710 BRIGHT SKY HOME HEALTH CARE INC

CA 059711 LEGACY HOME HEALTH & REHABILITATION

LLC

CA 059712 PINNACLE HOME HEALTH AGENCY LLC

CA 059713 STERLING HOME HEALTH CARE

CA 059714 ELITE HOME HEALTH CARE, INC

CA 059739 CALIFORNIA HEALTHCARE MANAGEMENT

GROUP, INC

CA 059715 TRINITYROSE HOME HEALTH CARE

CA 059716 ASTRA HEALTH CARE HOME HEALTH

AGENCY

CA 059717 A PLUS HOME HEALTH CARE, INC

CA 059718 EXCEL HOME HEALTHCARE, INC

CA 059719 PROMONTORY HOME HEALTH

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14525 VANOWEN ST, SUITE 3 VAN NUYS 91405 8187790125

12410 BURBANK BLVD, SUITE

201

VALLEY VILLAGE 91607 8187622605

414 TENNESSEE STREET

SUITE E

REDLANDS 92373 9097924090

7220 TRADE STREET, SUITE

350

SAN DIEGO 92121 8585783700

1375 LOCUST STREET, SUITE

M200

WALNUT CREEK 94596 5103674223

1650 SIERRA AVENUE, SUITE

202B

YUBA CITY 95993 5307773395

17620 SHERMAN WAY, SUITE

214

VAN NUYS 91406 8182080613

17003 VENTURA BLVD, SUITE

204

ENCINO 91316 8187834427

9350 FLAIR DRIVE SUITE 108 EL MONTE 91731 6262800908

55 SANTA CLARA AVENUE,

SUITE 255

OAKLAND 94610 5102720777

4625 FIRST STREET, SUITE

210

PLEASANTON 94566 9255233303

4944 WINDPLAY DRIVE,

SUITE 115

EL DORADO HILLS 95762 9169360555

225 WEST MADISON

AVENUE, SUITE 3

EL CAJON 92020 6193242686

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Proprietary

Proprietary

Proprietary

Government - Local

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

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01/08/2016

04/01/2016

04/27/2016

05/26/2016

04/22/2016

04/02/2016

02/25/2016

07/17/2016

10/07/2015

04/05/2016

07/12/2016

03/31/2016

06/29/2016

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CA 059720 IN HOME CARE GROUP, LLC

CA 059721 1ST CHOICE HOME HEALTH CARE

CA 059722 ESSENTIALS HOME HEALTH

CA 059723 VIDA CARE HOME HEALTH

CA 059740 GL HOME HEALTH CARE, INC

CA 059724 GUARDIAN ANGEL HOME CARE INC

CA 059725 21ST CENTURY HOME HEALTH SERVICES

INC.

CA 059726 HEALTHY LIVING AT HOME-MONTEREY, LLC

CA 059727 NEOGEN CARE

CA 059728 SINCLAIR HOME HEALTH SERVICES, INC

CA 059729 ONMYCARE HOME HEALTH

CA 059730 CARE OPTIONS

CA 059731 APPLIED HEALTHCARE SOLUTIONS INC

CA 059753 PEGASUS HH, INC

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6830 VIA DEL ORO, SUITE

106A

SAN JOSE 95119 4082263118

1291 E HILLSDALE BLVD.

SUITE 225B

FOSTER CITY 94404 6503935936

24301 SOUTHLAND DRIVE,

SUITE 610

HAYWARD 94545 5102395337

5100 N SIXTH STREET, SUITE

112

FRESNO 93710 5592480277

14547 TITUS ST, SUITE 215 PANORAMA CITY 91402 8188496134

5001 EAST COMMERCE

DRIVE, SUITE 240

BAKERSFIELD 93309 6613953035

2000 VAN NESS AVENUE

SUITE 608

SAN FRANCISCO 94109 4158012651

2150 GARDEN ROAD, SUITE

B-2

MONTEREY 93940 8317062255

24301 SOUTHLAND DRIVE,

SUITE B7

HAYWARD 94545 5104401383

6850 VAN NUYS BLVD, SUITE

310

VAN NUYS 91405 8187819800

39159 PASEO PADRE PKWY

STE 304

FREMONT 94538 5108582273

1151 HARBOR BAY

PARKWAY, SUITE 101

ALAMEDA 94502 5104684687

2865 SUNRISE BLVD, SUITE

104

RANCHO CORDOVA 95742 9166388726

105 W ALAMEDA AVENUE, BURBANK 91502 8189675040

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Proprietary

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07/30/2016

07/07/2016

06/15/2016

07/28/2016

09/03/2016

06/17/2016

07/20/2016

07/08/2016

07/20/2016

05/30/2016

09/21/2016

08/11/2016

07/21/2016

09/06/2016

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Page 673: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059732 HEALTH NOW HOME HEALTHCARE, INC

CA 059733 DANNY'S HOME HEALTH CARE INC

CA 059734 PURE LIFE HOME HEALTH CARE, INC

CA 059735 LIBRA HOME HEALTH CARE, INC.

CA 059736 HYGEIA HOME CARE, INC

CA 059737 RH HOME HEALTH SERVICES, INC.

CA 059738 BAKERSFIELD COMMUNITY HOME HEALTH

CA 059741 VALLEY HILLS HOME HEALTH CARE, INC

CA 059742 360 HOME HEALTH AGENCY

CA 059743 ASKLEPIUS HOME HEALTH, INC

CA 059744 CARE FOR ALL HOME HEALTH CARE INC

CA 059745 HEALTH HORIZONS HOME HEALTH AGENCY

CA 059746 HEALTHY LIVING AT HOME - EL CENTRO

LLC

CA 059747 PREMIER HEALTHCARE SERVICES LLC

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SUITE 217

23591 FOLEY STREET HAYWARD 94545 6502903242

2667 CAMINO DEL RIO

SOUTH, SUITE 308

SAN DIEGO 92108 6197262570

11755 VICTORY BLVD, SUITE

202

N HOLLYWOOD 91606 8187622636

1241 S. GLENDALE AVE,

SUITE 304E

GLENDALE 91205 8184059473

14545 VICTORY BLVD, SUITE

#606

VAN NUYS 91411 8182817992

229 N. CENTRAL AVE., SUITE

610

GLENDALE 91203 8184765688

3400 CALLOWAY DRIVE,

BUILDING 101

BAKERSFIELD 93312 6613484005

17915 VENTURA BLVD, SUITE

#220

ENCINO 91316 8189389175

21133 VICTORY BOULEVARD,

SUITE 206

CANOGA PARK 91303 8188880100

14039 SHERMAN WAY, SUITE

#202

VAN NUYS 91405 8189084351

7918 1/2 FOOTHILL BLVD SUNLAND 91040 8006873709

851 BURLWAY RD SUITE 505 BURLINGAME 94010 6505250555

502 W ATEN ROAD, SUITE

104 & 105

IMPERIAL 92251 8586880567

11830 SEBASTIAN WAY, RANCHO 91730 6262047930

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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09/09/2016

08/15/2016

07/16/2016

04/22/2016

04/30/2016

05/21/2016

07/14/2016

08/04/2016

08/17/2016

05/04/2016

09/08/2016

07/27/2016

03/17/2016

02/15/2016

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Page 681: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059748 PRISTINE CARE HOME HEALTH SERVICES,

INC

CA 059749 SD HEALTH PARTNERS, INC

CA 059750 FERGUS HOME HEALTH, INC

CA 059751 LA WELLNESS HEALTH CARE, INC

CA 059752 BONITA HOMECARE

CA 059754 KRISTORAF HOME HEALTH, INC

CA 059755 LOTUS HOME HEALTH CARE, INC

CA 059756 A BION HOME HEALTH CARE, INC

CA 059757 ACE 1 HOMEHEALTH SERVICES, INC

CA 059758 KAIROS HOME CARE LLC

CA 059759 ALL HEART HOME HEALTH CARE OF

CAMARILLO

CA 059760 PARENTIS HOME HEALTH

CA 059761 ASPIRE HEALTHCARE SERVICES

CA 059762 PREMIER HEALTHCARE SERVICES, LLC

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SUITE 103 CUCAMONGA

28481 RANCHO CALIFORNIA

ROAD SUITE 202

TEMECULA 92590 9515060348

4545 MURPHY CANYON

ROAD, SUITE 214

SAN DIEGO 92123 8589993068

1241 S GLENDALE AVE,

SUITE 203

GLENDALE 91205 9093966818

5652 VINELAND AVE, SUITE

202A

NORTH HOLLYWOOD 91601 8187626777

319 F STREET, SUITE 205 CHULA VISTA 91910 6197466978

14640 VICTORY BLVD, SUITE

214

VAN NUYS 91411 8187790877

6442 COLDWATER CANYON

AVE, SUITE 208

N HOLLYWOOD 91606 8189852300

14545 FRIAR ST, SUITE 236 SHERMAN OAKS 91411 8186461136

2112 24TH STREET BAKERSFIELD 93301 6613227770

4510 PERALTA BOULEVARD,

SUITE 7

FREMONT 94536 5103582271

400 MOBIL AVENUE, SUITE

#A1A

CAMARILLO 93010 8054828689

24012 CALLE DE LA PLATA,

SUITE 405

LAGUNA HILLS 92653 9493052739

222 N MOUNTAN AVENUE

SUITE 103B

UPLAND 91786 9099822465

40015 SIERRA HIGHWAY PALMDALE 93550 6612373875

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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03/30/2016

11/18/2016

07/30/2016

07/27/2016

08/19/2016

09/06/2016

09/16/2016

08/31/2016

08/02/2016

11/21/2016

07/13/2016

09/21/2016

09/13/2016

05/06/2016

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CA 059763 MAXLIFE HOME CARE SERVICES, INC

CA 059764 PROHEALTH HOME CARE, INC

CA 059769 RNPLUS HOME HEALTH, INC.

CA 059765 AMLIFE HOME HEALTH SERVICES, LLC

CA 059766 INTEGRATED HOME HEALTH

CA 059767 MEDANGEL HEALTHCARE, LLC

CA 059768 NATIONAL HOME HEALTH SERVICES

CA 059770 HOPE HOME HEALTH CARE, INC

CA 059771 CIRCLE OF LIFE HOME HEALTH, INC

CA 059772 APEX HEALTHCARE SERVICES LLC

CA 059773 GUARDIAN ANGEL HOME CARE INC.

CA 059774 INTOUCH HOME CARE, INC.

CA 059775 MEDI-KARE 1, INC

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SUITE B-180

6320 VAN NUYS BLVD, SUITE

307A

VAN NUYS 91401 8185385152

1375 EXPOSITION BLVD,

SUITE 250A

SACRAMENTO 95815 8772463830

22600 SAVI RANCH

PARKWAY, SUITE A2

YORBA LINDA 92887 7145951723

16275 MONTEREY STREET,

SUITE A

MORGAN HILL 95037 4086075067

701 E SANTA CLARA STREET,

SUITE #16

VENTURA 93001 8056678344

9245 LAGUNA SPRINGS

DRIVE, SUITE 200

ELK GROVE 95758 9165097068

1779 TRIBUTE ROAD, SUITE

D

SACRAMENTO 95815 9164732590

11040 SANTA MONICA BLVD,

SUITE #340

LOS ANGELES 90025 4242736616

1241 S GLENDALE AVE,

SUITE 202A

GLENDALE 91205 8184059464

4950 HAMILTON AVENUE,

SUITE 208

SAN JOSE 95130 4086456845

5070 N. 6TH STREET FRESNO 93710 5592241103

4701 PATRICK HENRY DRIVE,

SUITE 2601

SANTA CLARA 95054 4083949529

20944 SHERMAN WAY, SUITE

206C

CANOGA PARK 91303 8189682717

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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10/19/2016

11/08/2016

12/05/2016

10/22/2016

01/18/2017

11/23/2016

11/19/2014

09/27/2016

08/28/2016

03/01/2017

12/14/2016

12/20/2016

08/05/2016

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Page 697: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059776 ADVANCED HEALTH CARE PROVIDERS, INC

CA 059777 NATIONAL HOME HEALTH, INC

CA 059778 GUARDIAN ANGEL HOME CARE INC.

CA 059779 ELITE CARE HOME HEALTH AGENCY, INC.

CA 059780 GRACIOUS HOME HEALTH, INC

CA 059781 ATIVA HOME HEALTH

CA 059782 SAINT INESS HOME HEALTHCARE, INC

CA 059783 CALIFORNIA PEOPLE'S HOME HEALTH, INC.

CA 059784 DE PORRES HOME HEALTHCARE SERVICES

CA 059785 WICARE HOME HEALTH, LLC

CA 059786 PROGRESSIVE HOME HEALTH CARE

CA 059787 GIMAG HOME HEALTH CARE

CA 059788 BAYPOINT HOME HEALTH, INC

CA 059789 OPTIMA HOME HEALTH, INC

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206C

17620 SHERMAN WAY, SUITE

215

VAN NUYS 91406 8187459927

126 S JACKSON ST, SUITE

305

GLENDALE 91205 8185029404

1885 THE ALAMEDA , SUITE

208

SAN JOSE 95126 4082611120

91 WESTBOROUGH BLVD,

SUITE 2020

SOUTH SAN

FRANCISCO

94080 6502731184

6314 VAN NUYS BLVD, SUITE

#208

VAN NUYS 91401 8187822723

4667 MACARTHUR BLVD.,

SUITE 340

NEWPORT BEACH 92660 9492252188

2001 WEST MAGNOLIA BLVD,

SUITE A

BURBANK 91506 8185614019

12011 VICTORY BLVD, SUITE

205

NORTH HOLLYWOOD 91606 8189800087

1130 N EL DORADO STREET STOCKTON 95202 2099380121

4615 E INDUSTRIAL STREET,

SUITE #1L

SIMI VALLEY 93063 8055782273

1619 H STREET STE B MODESTO 95354 2095051035

4047 1ST STREET, SUITE 207 LIVERMORE 94551 9254536169

2515 SANTA CLARA AVENUE,

SUITE 105

ALAMEDA 94501 8663927751

3695 ALAMO STREET, SUITE SIMI VALLEY 93063 8052127220

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Page 704: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

08/02/2016

11/15/2016

12/06/2016

09/15/2016

09/06/2016

01/11/2017

01/23/2017

09/21/2016

02/23/2017

03/26/2017

04/28/2017

04/26/2017

04/29/2017

06/08/2017

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Page 705: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 059790 MAXIM HEALTHCARE SERVICES, INC

CA 059791 MVH HOME HEALTH, INC

CA 059792 HEART, INC

CA 059793 LOYALTY HOME HEALTH, INC

CA 059794 COLBY CARE HOME HEALTH, INC

CA 059795 GMA HOME HEALTH, INC

CA 059796 CARE MUST

CA 059797 CRYSTAL ROSE HOME HEALTH CARE, INC

CA 059798 INVIEW HOME HEALTH CARE, INC

CA 059799 TRUE CARE HOME HEALTH SERVICES, INC

CA 557089 ASSISTED HOME CARE

CA 557002 MAXIM HEALTHCARE SERVICES, INC

CA 557005 EXTENDED HEALTH CARE, INC.

CA 557006 UC DAVIS HOME CARE SERVICES

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#200

2141 PALOMAR AIRPORT

ROAD, SUITE 350

CARLSBAD 92011 7604380078

4312 WOODMAN AVE, SUITE

205

SHERMAN OAKS 91423 8186389468

5320 LAUREL CANYON BLVD,

SUITE 201

VALLEY VILLAGE 91607 8184049594

10545 BURBANK BLVD, SUITE

117

N HOLLYWOOD 91601 8182470007

19531 PARTHENIA ST, SUITE

B

NORTHRIDGE 91324 8183493919

6365 VAN NUYS BLVD, SUITE

7 & 8

VAN NUYS 91401 8189092599

1330 MEMOREX DRIVE SUITE

A

SANTA CLARA 95050 4084825735

44841 DATE AVE LANCASTER 93534 6619498877

425 VICTORY BLVD, SUITE D BURBANK 91502 9099848917

7355 TOPANGA CANYON

BLVD, SUITE 221

CANOGA PARK 91303 8184773284

8550 BALBOA BLVD, SUITE

283

NORTHRIDGE 91325 8188948117

5030 CAMINO DE LA SIESTA,

SUITE 405

SAN DIEGO 92108 6192999350

1718 E ARTESIA BLVD LONG BEACH 90805 5624232175

3630 BUSINESS DRIVE, SUITE SACRAMENTO 95820 9167342458

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Non - Profit Private

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03/14/2017

02/15/2017

03/26/2016

02/10/2017

08/13/2016

03/01/2017

05/22/2017

02/05/2017

02/06/2017

05/05/2017

06/28/1990

01/25/1991

12/20/1990

08/08/1990

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Page 713: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 557008 PIONEER HOME HEALTH CARE

CA 557012 KAISER FOUNDATION HOSPITAL HOME

HEALTH - MARTINEZ

CA 557014 UNITED HOME CARE OF NORTHERN

CALIFORNIA

CA 557020 INTERIM HEALTHCARE OF SAN DIEGO

COUNTY

CA 557037 KAISER, RIVERSIDE, HOME HEALTH

AGENCY (PARENT)

CA 557038 DIGNITY HEALTH HOME HEALTH

CA 557041 HEALING AT HOME

CA 557052 GENTIVA HEALTH SERVICES

CA 557061 KAISER FOUNDATION HOSPITAL HOME

HEALTH-SACRAMENTO

CA 557062 KAISER FOUNDATION HOSPITAL HOME

HEALTH - VALLEJO

CA 557065 KAISER FOUNDATION HOSPITAL HOME

HEALTH - NOVATO

CA 557066 KAISER FOUNDATION HOSPITAL HHA-

SANTA CLARA

CA 557067 KAISER FOUNDATION HOSPITAL HOME

HEALTH - HAYWARD

CA 557068 KAISER FOUNDATION HOSPITAL HOME

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G

363 ACADEMY AVE BISHOP 93514 7608724663

200 MUIR ROAD, HACIENDA

BUILDING

MARTINEZ 94553 9253134600

245 NEW YORK RANCH RD,

STE C

JACKSON 95642 2092233866

5625 RUFFIN ROAD, SUITE

225

SAN DIEGO 92123 8585769501

10917 MAGNOLIA AVENUE RIVERSIDE 92505 9513582600

124 S COLLEGE DRIVE SANTA MARIA 93454 8057393830

1151 BROADWAY, SUITE 101 SONOMA 95476 7079355135

4030 MOORPARK AVENUE,

SUITE 251

SAN JOSE 95117 4082612801

3240 ARDEN WAY SACRAMENTO 95825 9164865400

1761 BROADWAY, STE 210 VALLEJO 94589 7076452720

7200 REDWOOD

BOULEVARD, SUITE 200

NOVATO 94945 4158934132

3900 FREEDOM CIRCLE,

SUITE 201

SANTA CLARA 95054 4083426600

30116 EIGENBRODT UNION CITY 94587 5106756620

4501 BROADWAY OAKLAND 94610 5107526295

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Non - Profit Other

Non - Profit Private

Proprietary

Proprietary

Non - Profit Private

Non - Profit Religious

Government - Combination Government & Voluntary

Proprietary

Non - Profit Other

Non - Profit Other

Non - Profit Private

Non - Profit Other

Non - Profit Private

Non - Profit Private

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Page 720: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

01/24/1991

01/01/1990

08/01/1988

11/01/1988

04/14/1989

04/10/1989

02/27/1989

08/03/1989

01/01/1990

01/01/1990

01/01/1990

01/01/1990

01/01/1990

01/01/1990

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HEALTH - OAKLAND

CA 557073 SUTTER VISITING NURSE ASSOCIATION

CA 557084 CHILDREN'S HOMECARE

CA 557094 ADVENTIST HEALTH HOME CARE SERVICES

CA 557104 GENTIVA HEALTH SERVICES

CA 557106 SOUTHERN CALIFORNIA HOME HEALTH

AND HOSPICE

CA 557107 MEDICAL HOME CARE PROFESSIONALS

CA 557116 AMEDISYS HOME HEALTH CARE

CA 557139 GENTIVA HEALTH SERVICES

CA 557145 AFFILIATED HOME HEALTH SERVICES INC

CA 557154 BETHANY HOME HEALTH CARE

CA 557165 BUENA VISTA PALLIATIVE CARE & HOME

HEALTH

CA 557171 INTERIM HEALTHCARE OF CENTRAL

CALIFORNIA

CA 557172 LONG BEACH HEALTH CARE

CA 557194 AMEDISYS HOME HEALTH CARE

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8330 FERGUSON AVENUE SACRAMENTO 95828 9163886200

8291 AERO PLACE, SUITE 130 SAN DIEGO 92123 8589664941

2800 K STREET BAKERSFIELD 93301 6618696700

3240 EL CAMINO REAL, SUITE

190

IRVINE 92602 7145053087

730 MAGNOLIA AVE CORONA 92879 9517343650

2115 CHURN CREEK RD REDDING 96002 5302265577

1350 BAYSHORE HWY, SUITE

777

BURLINGAME 94010 6503444020

1503 NORTH IMPERIAL AVE,

SUITE 104

EL CENTRO 92243 7603533773

240 S JACKSON ST SUITE 210 GLENDALE 91205 8185397768

709 E COLORADO BLVD

SUITE 210

PASADENA 91101 6266839778

2545 WEST HILLCREST

DRIVE, SUITE #130A

THOUSAND OAKS 91320 8056761453

1521 N CARPENTER ROAD,

SUITE D1

MODESTO 95351 2095774625

3505 LONG BEACH BLVD STE

2-B

LONG BEACH 90807 5622908181

24301 SOUTHLAND DRIVE,

SUITE 411

HAYWARD 94545 5107320730

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Non - Profit Private

Non - Profit Private

Non - Profit Religious

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Page 723 of 792 06/17/2018

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01/09/1990

04/25/1990

08/24/1990

11/16/1990

09/20/1990

12/12/1990

04/05/1991

07/26/1991

10/22/1991

11/15/1991

12/12/1991

01/28/1992

12/13/1991

05/06/1992

Page 728 of 792 06/17/2018

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CA 557204 ALWAYS HOME NURSING SERVICES, INC

CA 557208 HOME HEALTH CARE MANAGEMENT INC

CA 557219 MISSION HOME HEALTH OF VENTURA

CA 557253 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 557266 GENESIS HOME HEALTH INC

CA 557270 PHYSICIANS CHOICE HH

CA 557272 ADDUS HEALTHCARE

CA 557273 ACCENTCARE HOME HEALTH OF

CALIFORNIA, INC

CA 557280 DYNAMIC HOME CARE

CA 557283 ADVENTIST HEALTH HOME CARE SERVICES

CA 557289 OPTIMAL HOME HEALTH

CA 557290 PROFESSIONAL HOME CARE ASSOCIATES

CA 557292 SUTTER AUBURN FAITH VNA & HOSPICE

CA 557406 COMCARE HOME HEALTH, INC

CA 557407 VERDUGO HILLS HOME CARE, INC

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7777 GREENBACK LANE,

SUITE 208

CITRUS HEIGHTS 95610 9169896420

1398 RIDGEWOOD DR CHICO 95973 5303430727

1957 EASTMAN AVENUE,

SUITE A1

VENTURA 93003 8052899999

2880 SUNRISE BLVD SUITE

218

RANCHO CORDOVA 95742 9168525888

1687 ERRINGER RD STE 202 SIMI VALLEY 93065 8055207100

3220 SEPULVEDA BLVD,

SUITE 100

TORRANCE 90505 3107931616

817 COFFEE RD BLD B MODESTO 95355 2095783231

618 4TH ST CORNING 96021 5308241799

14260 VENTURA BLVD. SUITE

#301

SHERMAN OAKS 91423 8189814446

100 SAN HEDRIN CIRCLE WILLITS 95490 7074591818

1315 BOUGHTON DR BAKERSFIELD 93308 6614104000

2296 COUNTRY DRIVE FREMONT 94536 5107979299

11775 EDUCATION STREET,

SUITE 201

AUBURN 95602 5308866650

100 WEST BROADWAY, STE

800

GLENDALE 91210 8189525164

2600 FOOTHILL BLVD, SUITE

201

LA CRESCENTA 91214 8185426600

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Religious

Proprietary

Proprietary

Non - Profit Private

Proprietary

Non - Profit Private

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06/18/1992

06/22/1992

09/22/1992

02/26/1993

03/29/1993

04/08/1993

03/16/1993

04/16/1993

04/15/1993

05/07/1993

06/09/1993

06/22/1993

06/13/1993

05/27/1994

05/27/1994

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CA 557412 COMPANION HOME HEALTH

CA 557418 INTERIM HEALTHCARE OF SAN DIEGO

COUNTY

CA 557423 VITAL HOME HEALTH CARE

CA 557425 ACCENTCARE HOME HEALTH OF

CALIFORNIA INC

CA 557429 SILAS MED SRVS

CA 557433 ST. JOSEPH HOME CARE - GREATER

SONOMA COUNTY

CA 557441 BRIDGE HOME HEALTH BAY AREA

CA 557443 INTERMED HOME CARE SERVICES

CA 557447 PROVIDENCE LITTLE COMPANY OF MARY

HOME HEALTH

CA 557461 CHOICE HOME HEALTH CARE

CA 557468 TOTAL HOME HEALTH INC

CA 557473 HOME HEALTH INTEGRATED SERVICES INC

CA 557478 QUALITY HOME HEALTH CARE, INC

CA 557479 PEGASUS HOME HEALTH CARE, INC

CA 557482 PROGRESSIVE HOME CARE - AUBURN

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2200 W ORANGEWOOD AVE,

SUITE 250

ORANGE 92868 7145608177

425 W 5TH AVENUE, SUITE

101

ESCONDIDO 92025 7604329811

2500 EAST FOOTHILL BLVD

SUITE 501

PASADENA 91107 6264326650

2344 SOUTH 2ND STREET,

SUITE A

EL CENTRO 92243 7603524022

513 1/2 E MANCHESTER

BLVD, SUITE 202

INGLEWOOD 90301 3106739193

1111 SONOMA AVE, SUITE

308

SANTA ROSA 95405 7072069124

175 N JACKSON AVE, SUITE

103A

SAN JOSE 95116 4089714151

9660 FLAIR DR SUITE 338 EL MONTE 91731 6262791950

5315 TORRANCE BLVD SUITE

B-169

TORRANCE 90503 3105433450

80 GARDEN COURT, SUITE

105

MONTEREY 93940 8316571998

1127 WILSHIRE BLVD, SUITE LOS ANGELES 90017 2122502022

704 SO MAIN STREET BURBANK 91506 8185586685

969 S VILLAGE OAKS DR

SUITE 206

COVINA 91724 6269666893

132 N MARYLAND AVENUE GLENDALE 91206 8185511932

11879 KEMPER ROAD, SUITE AUBURN 95603 5308233896

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Religious

Proprietary

Proprietary

Non - Profit Religious

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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07/27/1994

06/20/1994

08/03/1994

08/18/1994

07/19/1994

08/05/1994

08/04/1994

10/24/1994

09/26/1994

10/27/1994

11/01/1994

02/24/1995

12/20/1994

12/27/1994

11/17/1994

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Page 745: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 557490 UNIQUE HH SRVS

CA 557494 EXCEL HOME HEALTH

CA 557500 VISTA HOME HEALTH SERVICES, INC

CA 557505 SUPERB HOME HEALTH AGENCY, INC

CA 557509 APEX HOME HEALTH SERVICES

CA 557514 ASSISTED HEALTHCARE SERVICES

CA 557517 GOLDEN VALLEY HOME HEALTH

CA 557519 TULARE HOME CARE

CA 557523 MERCY HOME CARE

CA 557524 ALEXUS HOME HEALTHCARE, INC

CA 557541 HYGIEIA HOME HEALTH INC

CA 557550 PRACTICARE HOME HEALTH

CA 557735 ADEPT HOME HEALTH SERVICES, INC

CA 557557 BAY AREA CARE TEAM INC

CA 557559 AGAPE HOME CARE

CA 557561 ADVENTIST HEALTH HOME CARE SERVICES

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15

596 N LAKE AVE STE 101 PASADENA 91101 6265777596

5575 LAKE PARKWAY, SUITE

220

LA MESA 91942 6194606622

9003 RESEDA BLVD STE 209 NORTHRIDGE 91324 8187011877

370 S CRENSHAW BLVD

SUITE E202L

TORRANCE 90501 3102120916

3919 W SLAUSON AVE LOS ANGELES 90043 3235083333

8550 BALBOA BLVD., STE. 281 NORTHRIDGE 91325 8053793031

1960 FEATHER RIVER

BOULEVARD

OROVILLE 95965 5305328504

935 NORTH GEM STREET TULARE 93274 5596853411

2740 M STREET MERCED 95340 2095644320

4000 LONG BEACH BLVD

SUITE 221

LONG BEACH 90807 5626373113

17100 PIONEER BLVD SUITE

420

ARTESIA 90701 5628654900

223 N FIRST AVE, SUITE 103 ARCADIA 91006 6268214880

1131 W 6TH STREET #270 ONTARIO 91762 9099333800

2505 TARAVAL STREET SAN FRANCISCO 94116 4157530275

1004 W FOOTHILL BLVD STE

202

UPLAND 91786 9099497666

20100 CEDAR ROAD NORTH SONORA 95370 2095365700

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Private

Proprietary

Non - Profit Religious

Proprietary

Proprietary

Proprietary

Proprietary

Government - State/ County

Proprietary

Non - Profit Religious

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Page 752: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

01/04/1995

01/13/1995

02/09/1995

01/30/1995

03/02/1995

03/17/1995

03/30/1995

04/13/1995

03/31/1995

04/25/1995

04/28/1995

06/21/1995

09/27/1996

05/12/1995

05/30/1995

06/16/1995

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Page 753: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 557566 MLH HEALTHCARE, INC

CA 557569 NETWORK PROVIDERS FOR HOME HEALTH,

INC

CA 557571 HOME CARE OF AMERICA

CA 557581 PARAMOUNT HOME HEALTH SERVICES

CA 557587 EMINENCE HOME HEALTH

CA 557656 AVANCE HOME HEALTH, INC

CA 557597 AMERICAN NURSING HOME HEALTH

CA 557603 TENDER CARE HOME HEALTH

CA 557613 GRACE HOME HEALTH CARE

CA 557615 ALL CARE HOME HEALTH

CA 557618 METRO HOME CARE, INC

CA 557619 BETHANY HOME CARE

CA 557628 AMERICAN UNITED HOME CARE

CA 557630 INTERIM HEALTHCARE

CA 557635 ADMIRAL HOME HEALTH, INC

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Page 754: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

127 N MADISON AVE, STE 215 PASADENA 91101 6264571874

8337 TELEGRAPH ROAD

SUITE 223

PICO RIVERA 90660 5629049040

1930 E. COLORADO BLVD. PASADENA 91107 6263097696

1915 BEVERLY BLVD, SUITE

200

LOS ANGELES 90057 2139890888

5810 MONTEREY ROAD LOS ANGELES 90042 8188307113

1350 O STREET, STE 303 FRESNO 93721 5592559300

724 E 1ST STREET, SUITE

203

LOS ANGELES 90012 2135720600

317 W LAS TUNAS DRIVE

#208

SAN GABRIEL 91776 6269438988

1739 TERMINO AVE LONG BEACH 90815 5624980203

100 WEST BROADWAY SUITE

830

GLENDALE 91210 8182412473

7018 OWENSMOUTH AVE,

#201

CANOGA PARK 91303 8187092277

11481 HEACOCK STREET,

SUITE 130

MORENO VALLEY 92557 9519247751

13111 VENTURA BLVD STUDIO CITY 91604 8183866358

970 EXECUTIVE WAY REDDING 96002 5302211212

4010 WATSON PLAZA DRIVE

SUITE 140

LAKEWOOD 90712 5624210777

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Proprietary

Proprietary

Proprietary

Page 755 of 792 06/17/2018

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Page 760: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

07/18/1995

07/20/1995

07/26/1995

08/24/1995

09/21/1995

01/12/1996

09/28/1995

10/11/1995

11/07/1995

11/08/1995

11/01/1995

11/13/1995

01/04/1996

11/29/1995

11/14/1995

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Page 761: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 557636 LOTUS HEALTHCARE PARTNERS, INC

CA 557655 STAFFING HOME CARE

CA 557664 SAN BENITO HOME HEALTH CARE

CA 557669 UNIVERSAL HOME CARE, INC.

CA 557677 HUMAN TOUCH HOME HEALTH CARE

AGENCY, INC

CA 557679 CARE SHARING HOME HEALTH

CA 557680 CARE ESSENTIALS HOME HEALTH

CA 557681 SALCARE HOME HEALTH SERVICES

CA 557684 ADVENT HOME HEALTH CARE SERVICES,

INC

CA 557685 NEW DIMENSION H C

CA 557690 RX STAFFING AND HOME CARE

CA 557696 BROOKDALE HOME HEALTH

CA 557700 ADVANTAGE HOME HEALTH SERVICES

CA 557711 MISSION HOME HEALTH OF SAN DIEGO INC

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SUITE 140

402 S PROSPECTORS RD,

SUITE G

DIAMOND BAR 91765 9093967440

10 ROLLINS ROAD, SUITE 208 MILLBRAE 94030 6506970777

911- C SUNSET DRIVE HOLLISTER 95023 8316381111

151 N SAN VICENTE BLVD

STE 200

BEVERLY HILLS 90211 3236539222

3629 NORTH SEPULVEDA

BLVD, STE 101

MANHATTAN BEACH 90266 4242478165

16861 VENTURA BLVD, SUITE

200

ENCINO 91436 8187849940

264 E 18TH STREET SAN BERNARDINO 92404 9098830288

15607 LAKEWOOD BLVD,

SUITE A

PARAMOUNT 90723 3237779339

1128 E ROUTE 66 GLENDORA 91740 6268521985

1212 EAST MAIN STREET,

SUITE 4

ALHAMBRA 91801 6262816400

4640 MARCONI AVENUE,

SUITE 8

SACRAMENTO 95821 9164858200

706 E ARROW HIGHWAY

SUITE A

COVINA 91722 6266538880

14407 GILMORE STREET,

SUITE 202

VAN NUYS 91401 2139771200

2375 NORTHSIDE DRIVE, SAN DIEGO 92108 6197572700

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Proprietary

Proprietary

Government - State/ County

Proprietary

Proprietary

Non - Profit Private

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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Page 768: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

12/14/1995

12/29/1995

03/11/1996

03/06/1996

03/14/1996

02/09/1996

02/08/1996

03/11/1996

04/02/1996

04/24/1996

04/30/1996

04/24/1996

04/14/1996

05/31/1996

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Page 769: State CMS Certification Number (CCN)* Provider Namedata.medicare.gov/api/views/zh5g-i2b6/rows.pdfState CMS Certification Number (CCN)* Provider Name CA 058113 LORIAN HEALTH CA 053100

CA 557712 TOP CARE HOME HEALTH

CA 557716 GOOD HOPE HOME HEALTH CARE

CA 557718 NORTH STAR HEALTHCARE, INC

CA 557719 ULTIMATE HOME HEALTH CARE OF

BEVERLY HILLS

CA 557722 SANTA CLARITA HOME HEALTH

CA 557725 ISOCARE MEDICAL EXTENDERS SERVICES

INC

CA 557727 HEALTH VIEW HOME HEALTH

CA 557731 CELEBRITY HOMEHEALTH

CA 557740 HIGHLAND HOME HEALTHCARE, INC

CA 557743 STAR HOME HEALTH RESOURCES, INC

CA 557746 GOOD LIFE HOME HEALTH

CA 557747 ASIAN NETWORK PACIFIC HOME CARE, INC

CA 557753 BRIGHT HORIZONS HOME HEALTH

CA 557754 ASIAN AMERICAN HOME HEALTH

CA 557755 SURE CARE HEALTH CARE SERVICES

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SUITE 150

9683 TIERRA GRANDE

STREET STE 201

SAN DIEGO 92126 8586952101

484 E FOOTHILL BLVD UPLAND 91786 9099206700

667 BREA CANYON ROAD

SUITE 28

WALNUT 91789 9098958841

3911 LONG BEACH BLVD,

SUITE B

LONG BEACH 90807 5626124725

22620 MARKET ST, STE 200 SANTA CLARITA 91321 6612227889

13527 HAWTHORNE BLVD HAWTHORNE 90250 3106445151

17785 CENTER COURT

DRIVE, SUITE 325

CERRITOS 90703 5624680136

16600 SHERMAN WAY, STE

200

VAN NUYS 91406 8183434001

8671 WILSHIRE BLVD STE 606 BEVERLY HILLS 90211 3108541023

1768 ARROW HIGHWAY,

SUITE 105

LA VERNE 91750 9095937001

2501 COLORADO BLVD UNIT

G

LOS ANGELES 90041 3234789471

212 9TH STREET, SUITE 205 OAKLAND 94607 5102681118

10511 S WESTERN AVENUE LOS ANGELES 90047 3236001100

704 BROADWAY, SUITE 202 OAKLAND 94607 5104331068

1109 W SAN BERNARDINO COVINA 91722 6268597606

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

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05/15/1996

06/05/1996

06/25/1996

06/14/1996

09/05/1996

09/18/1996

10/09/1996

05/20/1996

11/06/1996

10/10/1996

11/25/1996

10/02/1996

11/27/1996

11/04/1996

12/02/1996

Page 776 of 792 06/17/2018

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CA 557763 AMICABLE HOMECARE, INC

CA 557764 FOCUS HEALTH

CA 557765 AROUND THE CLOCK HOME CARE

CA 557773 PROMPTCARE HEALTH SERVICES

CA 557774 IDEAL HOME CARE INC

CA 557775 AS'LIEF HOME HEALTH

CA 557784 ASSISTED HEALTHCARE SERVICES

CA 557785 SUTTER NORTH HOME HEALTH

CA 557789 CAREMAX HOME HEALTH

CA 557790 PRECAUTIONARY HOME HEALTH SERVICES

INC

CA 557791 ADVANCE HOME HEALTH SERVICES, INC

CA 557792 QUALITY CARE HH SPECIALISTS

CA 557796 CROSSROADS HOME HEALTH & HOSPICE

CA 557797 VIP HOME HEALTH CARE AGENCY

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RD SUITE 200

13819 SAN ANTONIO DRIVE NORWALK 90650 5628688881

377 W FALLBROOK AVENUE,

SUITE 206

FRESNO 93711 5594322257

5251 OFFICE PARK DRIVE,

SUITE 400

BAKERSFIELD 93309 6613955800

454 S CENTRAL AVE GLENDALE 91204 8185001902

1751 S GRAND AVE GLENDORA 91740 6269667677

4138 EAGLE ROCK BLVD,

SUITE B

LOS ANGELES 90065 9093975688

1900 W GARVEY AVENUE, S,

SUITE 220

WEST COVINA 91790 6269749720

400 PLUMAS BLVD, SUITE

115B

YUBA CITY 95991 5307493450

2139 TAPO STREET, SUITE

224

SIMI VALLEY 93063 8055821546

11011 CRENSHAW BLVD

SUITE 203

INGLEWOOD 90303 3232411150

801 W VALLEY BLVD SUITE

105

ALHAMBRA 91803 6262820765

1416 S AZUSA AVE, STE C-1 WEST COVINA 91791 6268690131

1109 VICENTE STREET,

SUITE 103

SAN FRANCISCO 94116 4156822111

1224 SOUTH GARFIELD

AVENUE #204

ALHAMBRA 91801 6262931339

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Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Proprietary

Non - Profit Other

Proprietary

Government - Local

Proprietary

Government - State/ County

Proprietary

Proprietary

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01/02/1997

01/21/1997

01/16/1997

01/13/1997

01/06/1997

01/21/1997

03/13/1997

03/24/1997

03/26/1997

04/01/1997

04/02/1997

03/20/1997

04/18/1997

04/22/1997

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CA 557798 INCARE HOME HEALTH SERVICES

CA 557799 CHARITY HOME HEALTH SERVICES

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AVENUE #204

2787 CALIFORNIA STREET,

SUITE B

SAN FRANCISCO 94115 4156738989

500 CARSON PLZ DR STE 228 CARSON 90746 3105274339

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Proprietary

Proprietary

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04/17/1997

04/22/1997

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