| Contacts | Authorizing Official | Update | New Registration | Eng, Carolin
CEO
Herald Christian Health Center
6262868700 | Eng, Carolin
CEO
Herald Christian Health Center
6262868700-1102 | 4/14/2025 5:00 PM |
| Contacts | Signed By | Update | New Registration | Eng, Carolin
CEO
Herald Christian Health Center
6262868700 | Eng, Carolin
CEO
Herald Christian Health Center
6262868700-1102 | 4/14/2025 5:00 PM |
| Details | Last Recertification Date | Update | Recertification | 2/8/2024 1:30:12 PM | 2/25/2025 3:44:50 PM | 2/25/2025 3:44 PM |
| Details | Last Recertification Date | Update | Recertification | 2/14/2023 7:04:28 PM | 2/8/2024 1:30:12 PM | 2/8/2024 1:30 PM |
| Details | Last Recertification Date | Update | Recertification | 2/9/2022 6:16:48 PM | 2/14/2023 7:04:28 PM | 2/14/2023 7:04 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1063835213 | 7/14/2022 7:33 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | CA | 7/14/2022 7:33 PM |
| Contacts | Authorizing Official | Update | Profile Change Request | Eng, Carolin
Interim CEO
Herald Christian Health Center
6262868700 | Eng, Carolin
CEO
Herald Christian Health Center
6262868700 | 2/10/2022 7:15 AM |
| Contacts | Signed By | Update | Profile Change Request | Eng, Carolin
Interim CEO
Herald Christian Health Center
6262868700 | Eng, Carolin
CEO
Herald Christian Health Center
6262868700 | 2/10/2022 7:15 AM |
| Addresses | Billing Address | Update | Recertification | Herald Christian Health Center
8841 Garvey Ave.
Rosemead, CA 91770-3358 | Herald Christian Health Center
3401 Aerojet Ave
El Monte, CA 91731-2801 | 2/9/2022 6:16 PM |
| Details | Last Recertification Date | Update | Recertification | 2/23/2021 2:44:52 PM | 2/9/2022 6:16:48 PM | 2/9/2022 6:16 PM |
| Addresses | Shipping Address | Delete | Recertification | Herald Christian Health Center
1661 Hanover Road, Suite 103
City of Industry, CA 91748-1796 | | 2/23/2021 2:44 PM |
| Details | Last Recertification Date | Update | Recertification | 2/4/2020 8:00:28 PM | 2/23/2021 2:44:52 PM | 2/23/2021 2:44 PM |
| Contacts | Authorizing Official | Update | Profile Change Request | Eng, Carolin
Chief Operation Officer
Herald Christian Health Center
6262868700 | Eng, Carolin
Interim CEO
Herald Christian Health Center
6262868700 | 2/23/2021 7:37 AM |
| Contacts | Signed By | Update | Profile Change Request | Eng, Carolin
Chief Operation Officer
Herald Christian Health Center
6262868700 | Eng, Carolin
Interim CEO
Herald Christian Health Center
6262868700 | 2/23/2021 7:37 AM |
| Contacts | Primary Contact | Update | Profile Change Request | Szeto, Emily
Administrator
Herald Christian Health Center
6262868700-302 | Szeto, Emily
Chief Administration Officer
Herald Christian Health Center
6262868700-1103 | 2/22/2021 2:18 PM |
| Details | Last Recertification Date | Update | Recertification | 1/31/2019 2:36:05 PM | 2/4/2020 8:00:28 PM | 2/4/2020 8:00 PM |
| Contacts | Primary Contact | Update | Recertification | Tsui, Spencer
Administration Director
Herald Christian Health Center
6262868700 | Szeto, Emily
Administrator
Herald Christian Health Center
6262868700-302 | 1/31/2019 2:36 PM |
| Details | Last Recertification Date | Update | Recertification | 3/2/2018 8:07:59 AM | 1/31/2019 2:36:05 PM | 1/31/2019 2:36 PM |
| Addresses | Shipping Address | Insert | Recertification | | Herald Christian Health Center
1661 Hanover Road, Suite 103
City of Industry, CA 91748-1796 | 3/2/2018 8:07 AM |
| Addresses | Shipping Address | Delete | Recertification | Herald Christian Health Center
8841 Garvey Ave.
Rosemead, CA 91770-3358 | | 3/2/2018 8:07 AM |
| Contacts | Primary Contact | Update | Recertification | Sy, Bernabeth
Community Development and Outreach
6262868700 | Tsui, Spencer
Administration Director
Herald Christian Health Center
6262868700 | 3/2/2018 8:07 AM |
| Details | Last Recertification Date | Update | Recertification | 2/6/2017 12:00:00 AM | 3/2/2018 8:07:59 AM | 3/2/2018 8:07 AM |
| Details | Is Authorizing Official EHB Data | Update | Recertification | False | | 3/2/2018 8:07 AM |
| Contacts | Authorizing Official | Update | | Eng, Carolin
Chief Operation Officer
6262868700 | Eng, Carolin
Chief Operation Officer
Herald Christian Health Center
6262868700 | 1/11/2018 3:34 PM |
| Contacts | Signed By | Update | | Eng, Carolin
Chief Operation Officer
6262868700 | Eng, Carolin
Chief Operation Officer
Herald Christian Health Center
6262868700 | 1/11/2018 3:34 PM |
| Contacts | Authorizing Official | Insert | | | Eng, Carolin
Chief Operation Officer
6262868700 | 5/16/2017 10:13 AM |
| Contacts | Signed By | Insert | | | Eng, Carolin
Chief Operation Officer
6262868700 | 5/16/2017 10:13 AM |
| Addresses | Main Address | Insert | | |
1661 HANOVER RD
Suite 103
CITY OF INDUSTRY, CA 91748-1796 | 4/13/2017 2:04 PM |
| Addresses | Billing Address | Insert | | | Herald Christian Health Center
8841 Garvey Ave.
Rosemead, CA 91770-3358 | 4/13/2017 2:04 PM |
| Addresses | Shipping Address | Insert | | | Herald Christian Health Center
8841 Garvey Ave.
Rosemead, CA 91770-3358 | 4/13/2017 2:04 PM |
| Contacts | Primary Contact | Insert | | | Sy, Bernabeth
Community Development and Outreach
6262868700 | 4/13/2017 2:04 PM |
| Details | Entity Subname | Update | | HCHC - East San Gabriel Valley | HCHC - City of Industry | 4/13/2017 2:04 PM |
| Details | Last Recertification Date | Update | | 2/29/2016 12:00:00 AM | 2/6/2017 12:00:00 AM | 2/6/2017 1:04 PM |
| Details | Last Recertification Date | Update | | | 2/29/2016 12:00:00 AM | 2/29/2016 2:32 PM |
| Dates | Participating Approval Date | Update | | | 7/14/2015 12:00:00 AM | 7/14/2015 11:51 AM |
| Details | State | Update | | Pending | Active | 7/14/2015 11:51 AM |
| Dates | Start Date | Update | | | 10/1/2015 12:00:00 AM | 7/14/2015 11:51 AM |
| Details | 340B ID | Update | | ONLINE_REG_52418 | CHC26618-01 | 7/8/2015 11:58 AM |
| Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_52418 | 7/7/2015 3:29 PM |
| Details | Last Recertification Date | Insert | | | | 7/7/2015 3:29 PM |
| Details | Grant Number | Insert | | | H80CS26618 | 7/7/2015 3:29 PM |
| Details | 340B ID | Insert | | | ONLINE_REG | 7/7/2015 3:29 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | False | 7/7/2015 3:29 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 7/7/2015 3:29 PM |
| Details | Medicare Provider Number | Insert | | | | 7/7/2015 3:29 PM |
| Details | Entity Name | Insert | | | HERALD CHRISTIAN HEALTH CENTER | 7/7/2015 3:29 PM |
| Details | Program Code | Insert | | | CH | 7/7/2015 3:29 PM |
| Details | Entity Subname | Insert | | | HCHC - East San Gabriel Valley | 7/7/2015 3:29 PM |
| Dates | Participating Approval Date | Insert | | | | 7/7/2015 3:29 PM |
| Details | State | Insert | | | Pending | 7/7/2015 3:29 PM |
| Dates | Registration Date | Insert | | | 7/7/2015 12:00:00 AM | 7/7/2015 3:29 PM |
| Dates | Signed By Date | Insert | | | 7/7/2015 12:00:00 AM | 7/7/2015 3:29 PM |
| Dates | Start Date | Insert | | | | 7/7/2015 3:29 PM |
| Terminations | Termination Comments | Insert | | | | 7/7/2015 3:29 PM |
| Terminations | Termination Date | Insert | | | | 7/7/2015 3:29 PM |
| Terminations | Termination Effective Date | Insert | | | | 7/7/2015 3:29 PM |
| Terminations | Termination Reason | Insert | | | | 7/7/2015 3:29 PM |