Active NPI
Platinum Home Health Care Specialist, Inc.
- Home Health Agency
- Burbank, CA
National Provider Identifier
1003361213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PLATINUM HOME HEALTH CARE SPECIALIST, INC.
- Practice address
- 4020 W Magnolia Blvd Ste F
Burbank, CA 91505-2828 - Phone
- (818) 562-7992
- Fax
- (818) 562-7951
- NPI assigned
- Aug 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ashot Baghdasaryan
- Title
- Ceo
- Phone
- (818) 562-7992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4020 W Magnolia Blvd Ste F
Burbank, CA 91505-2828
Mailing address
4020 W Magnolia Blvd Ste F
Burbank, CA 91505-2828
Phone (818) 562-7992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161003000102 | CA | Part A Provider - Home Health Agency | 0345537577 | Practice locations: Burbank, CA |
Home health agency certification: CCN 559373
- Legal name
- PLATINUM HOME HEALTH CARE SPECIALIST, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 25, 2020
- Last certification
- Sep 25, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 27, 2019 in CA
- Enrollment address
- 4020 W Magnolia Blvd
Ste F
Burbank, CA 91505-2828
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Platinum Home Health Care Specialists, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 25, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4020 W Magnolia Blvd
Ste F
Burbank, CA 91505
Phone (818) 562-7992
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Irma Bichikaeva | 5% Or Greater Direct Ownership Interest | Feb 27, 2019 | 100% |
| Corporate Officer | Feb 27, 2019 | 100% | |
| Corporate Director | Feb 27, 2019 | 100% | |
| W-2 Managing Employee | Feb 27, 2019 | 100% | |
| Operational/Managerial Control | Feb 27, 2019 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Garden Grove, CA
- NPI 1972589687
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471392000000",
"number": "1003361213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 W MAGNOLIA BLVD STE F",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052828",
"telephone_number": "818-562-7992",
"fax_number": "818-562-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 W MAGNOLIA BLVD STE F",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052828",
"telephone_number": "818-562-7992",
"fax_number": "818-562-7951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATINUM HOME HEALTH CARE SPECIALIST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-17",
"last_updated": "2016-08-17",
"status": "A",
"authorized_official_last_name": "BAGHDASARYAN",
"authorized_official_first_name": "ASHOT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-562-7992",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.