Organization Active NPI

Platinum Home Health Care Specialist, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1003361213
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 17, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559373
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 25, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Irma Bichikaeva Individual 5% Or Greater Direct Ownership InterestCeo Feb 27, 2019 100%
Corporate OfficerCeo Feb 27, 2019 100%
Corporate DirectorCeo Feb 27, 2019 100%
W-2 Managing EmployeeCeo Feb 27, 2019 100%
Operational/Managerial ControlCeo Feb 27, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.