Active NPI
Love Home Health Agency Inc
- Community Based Hospice Care Agency
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- -
- Certified
- Sep 18, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2231289 | Love Home Health Agency Inc | Certificate of waiver | Aug 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Arya Cangarlu | 5% Or Greater Direct Ownership Interest | Jul 17, 2018 | 33.34% |
| Corporate Officer | Jul 17, 2018 | 33.34% | |
| Corporate Director | Jul 17, 2018 | 33.34% | |
| Operational/Managerial Control | Jul 17, 2018 | 33.34% | |
| Arvin Fekri | 5% Or Greater Direct Ownership Interest | Jul 17, 2018 | 33.33% |
| Corporate Officer | Jul 17, 2018 | 33.33% | |
| Corporate Director | Jul 17, 2018 | 33.33% | |
| Operational/Managerial Control | Jul 17, 2018 | 33.33% | |
| Faramarz Nafeh | 5% Or Greater Direct Ownership Interest | Jul 17, 2018 | 33.33% |
| Corporate Officer | Jul 17, 2018 | 33.33% | |
| Corporate Director | Jul 17, 2018 | 33.33% | |
| Operational/Managerial Control | Jul 17, 2018 | 33.33% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Laguna Niguel, CA
- NPI 1902125776
Home health agency
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1972616100
Home health agency
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1558340034
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.