Organization Active NPI

Love Home Health Agency Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1013495316
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LOVE HOME HEALTH AGENCY INC
Practice address
1554 S Sepulveda Blvd Ste 110
Los Angeles, CA 90025-3334
Phone
(818) 312-0663
Fax
(877) 470-8219
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Arvin Fekri
Title
Ceo
Phone
(818) 312-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1554 S Sepulveda Blvd Ste 110
Los Angeles, CA 90025-3334

Mailing address

1554 S Sepulveda Blvd Ste 110
Los Angeles, CA 90025-3334
Phone (818) 312-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827001560 CA Part A Provider - Home Health Agency 9537497656 Practice locations: Canoga Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013495316. Details of each certification follow.

Home health agency certification: CCN 559702

Legal name
LOVE HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 18, 2021
Last certification
Sep 18, 2021
Organization structure
CorporationProprietary
Enrollment address
22222 Sherman Way
Ste 207
Canoga Park, CA 91303-1091

Care Compare: Home health agency

Medicare Care Compare
Listed as
Love Home Health Agency, IncCCN 559702 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Sep 18, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2231289Love Home Health Agency Inc1554 S Sepulveda Blvd Suite 110a, Los Angeles, CA 90025Certificate of waiverAug 1, 2027

National Provider Directory

National Provider Directory

Locations

22222 Sherman Way
Ste 207
Canoga Park, CA 91303
Phone (747) 230-4156

1554 S Sepulveda Blvd
Ste 110A
Los Angeles, CA 90025
Phone (818) 312-0663

1554 S Sepulveda Blvd
Ste 110
Los Angeles, CA 90025
Phone (818) 312-0663

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Arya Cangarlu Individual 5% Or Greater Direct Ownership Interest Jul 17, 2018 33.34%
Corporate OfficerSecretary Jul 17, 2018 33.34%
Corporate DirectorSecretary Jul 17, 2018 33.34%
Operational/Managerial ControlSecretary Jul 17, 2018 33.34%
Arvin Fekri Individual 5% Or Greater Direct Ownership Interest Jul 17, 2018 33.33%
Corporate OfficerCeo Jul 17, 2018 33.33%
Corporate DirectorCeo Jul 17, 2018 33.33%
Operational/Managerial ControlCeo Jul 17, 2018 33.33%
Faramarz Nafeh Individual 5% Or Greater Direct Ownership Interest Jul 17, 2018 33.33%
Corporate OfficerCfo Jul 17, 2018 33.33%
Corporate DirectorCfo Jul 17, 2018 33.33%
Operational/Managerial ControlCfo Jul 17, 2018 33.33%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1013495316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 S SEPULVEDA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253334",
            "telephone_number": "818-312-0663",
            "fax_number": "877-470-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 S SEPULVEDA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253334",
            "telephone_number": "818-312-0663",
            "fax_number": "877-470-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "FEKRI",
        "authorized_official_first_name": "ARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-312-0663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.