Fountain Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001383 Issued in CA

Legal business name

FOUNTAIN HOME HEALTH INC

Doing business as

Billet Home Health - Los Angeles

Practice address

8349 Foothill Blvd Ste B
Sunland, CA 91040-2828

Phone

(833) 224-5538

Fax

(833) 424-5538

NPI assigned

Jul 20, 2005

Last updated

Feb 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armen Ghadimian

Title

Ceo

Phone

(833) 224-5538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Billet Home Health - Los Angeles Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013916063. Details of each certification follow.

• CCN 058127 Home health agency · Active · Details

Home health agency certification: CCN 058127

Legal name

FOUNTAIN HOME HEALTH INC

Doing business as

FOUNTAIN HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 28, 2002

Last certification

May 2, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 16, 2001 in CA

Enrollment address

4430 Fountain Ave
Ste 4
Los Angeles, CA 90029-2005

Listed as

Billet Home Health- Los AngelesCCN 058127 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Jun 28, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Billet Home Health - Los Angeles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fountain Home Health Inc

  dba Fountain Hospice Centers

  • Community Based Hospice Care Agency
  • Los Angeles, CA
  • NPI 1801189063
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Elena D Spektor, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1487735668

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Imad Aziz El Asmar, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1912956525

  Home health agency

  Care Compare affiliation
• Ayuna K Panossian, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1952423014

  Home health agency

  Care Compare affiliation
• Elena D Spektor, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1487735668

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1013916063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 FOOTHILL BLVD STE B",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402828",
            "telephone_number": "833-224-5538",
            "fax_number": "833-424-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8349 FOOTHILL BLVD STE B",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402828",
            "telephone_number": "833-224-5538",
            "fax_number": "833-424-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "GHADIMIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-224-5538"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08127F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Billet Home Health - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foothill Home Health Services, Inc.
• Foothill Hospice Services
• Foothill Urgent Care
• Foothill Urgent Care Clinic
• Forever Young Cbas
• Paul David Frankel, D.D.S.
• Freedom Hospice Inc
• Gao Hospice Care, Inc.
• Armineh Gasparian, PHARM D
• Gevorg Gevorgyan

• Home Health Agency in Sunland, CA
• Providers in Sunland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.

Verify at the official NPI Registry.