Forms to Track / Home Health Certification and Plan of Care
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RFA:
Form Date Patient Episode OASIS Status Match Frequency Primary Physician (HHRG) Primary Physician (CPC) Upload
06/09/2025 SCRIVEN, GARY
MRN: 900010273
08/16/25 - 06/22/26
SOC (Billable)
SOC (Exported to State) CALDERON, BENITO
NPI: 1396799904
Daniel 10/14/25 02:16 PM
changed the provider name
09/19/2025 FLEETWOOD, JOHN
MRN: 900009967
09/19/25 - 09/18/26
REC (Billable)
REC (Exported to State) MARGALLO, ROY MARIE
NPI: 1538314950
Daniel 08/27/25 01:47 PM
reviewed the form
10/08/2025 PATEL, JIVIBEN
MRN: 900010622
10/08/25 - 12/06/25
SOC (Billable)
SOC (Exported to State) DAULAT, GIRISH
NPI: 1235226770
DAULAT, GIRISH
NPI: 1235226770
Lala 12/02/25 02:23 PM
reviewed the form
10/17/2025 JAMES-DONALD, SHERRIA
MRN: 900010634
10/17/25 - 12/10/25
SOC (Billable)
SOC (Exported to State) ACHIN, ROWENA
NPI: 1366467888
ACHIN, ROWENA
NPI: 1366467888
Lala 12/02/25 02:23 PM
reviewed the form
01/12/2026 SMILLIE, RONALD
MRN: 900010802
01/12/26 - 03/09/26
SOC (Billable)
SOC (Exported to State) LANDERO, MARIA
NPI: 1790118115
LANDERO, MARIA
NPI: 1790118115
JM 03/16/26 01:47 PM
reviewed the form automatically marking the POC Uploaded
01/15/2026 NARANJO, JULIA
MRN: 900010800
01/15/26 - 02/03/26
SOC (Billable)
SOC (Exported to State) WHITLEY, CHESTER
NPI: 1740550078
WHITLEY, CHESTER
NPI: 1740550078
JM 03/17/26 03:12 PM
reviewed the form
01/25/2026 SCHEELER, GAYLE
MRN: 900010840
01/25/26 - 03/25/26
SOC (Billable)
SOC (Exported to State) ANG-ERMOCILLA, BEATRIZ
NPI: 1962412106
ANG-ERMOCILLA, BEATRIZ
NPI: 1962412106
JM 03/16/26 01:47 PM
reviewed the form automatically marking the POC Uploaded
02/05/2026 DOWNEY, LAURIE
MRN: 15391
02/05/26 - 02/27/26
SOC (Billable)
SOC (Exported to State) MARTINEZ, CRYSTAL
NPI: 1881299386
MARTINEZ, CRYSTAL
NPI: 1881299386
JM 03/16/26 02:38 PM
reviewed the form automatically marking the POC Uploaded
02/06/2026 APPLETON HULTZ, KELLIE
MRN: 900010873
02/06/26 - 02/27/26
SOC (Billable)
SOC (Exported to State) SATARAY, JUSTO
NPI: 1689619983
SATARAY, JUSTO
NPI: 1689619983
JM 03/16/26 03:49 PM
reviewed the form automatically marking the POC Uploaded
02/06/2026 TAYLOR, MARTHA
MRN: 900010866
02/06/26 - 04/06/26
SOC (Billable)
SOC (Exported to State) TORRES-QUIALA, JUNIER
NPI: 1427509850
TORRES-QUIALA, JUNIER
NPI: 1427509850
JM 03/17/26 03:12 PM
reviewed the form automatically marking the POC Uploaded
02/06/2026 WINNEFELD, NANCY
MRN: 900010870
02/06/26 - 04/06/26
SOC (Billable)
SOC (Exported to State) DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
JM 03/20/26 11:18 AM
reviewed the form automatically marking the POC Uploaded
02/07/2026 LAZARO JR, REAM
MRN: 900010871
02/07/26 - 04/07/26
SOC (Billable)
SOC (Exported to State) ROSENSTEIN, DAVID
NPI: 1518001551
ROSENSTEIN, DAVID
NPI: 1518001551
JM 03/20/26 05:30 PM
reviewed the form automatically marking the POC Uploaded