Marvi Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARVI HOME HEALTH INC

Practice address

3171 Los Feliz Blvd Ste 202C
Los Angeles, CA 90039-1536

Phone

(323) 741-0100

Fax

(323) 337-8003

NPI assigned

May 17, 2021

Last updated

Jun 7, 2022By 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

Sara Gevorgyan

Title

Ceo

Phone

(323) 741-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023682747. Details of each certification follow.

• CCN 757336 Home health agency · Active · Details

Home health agency certification: CCN 757336

Legal name

MARVI HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 9, 2023

Last certification

Aug 9, 2023

Organization structure

CorporationProprietary

Incorporated

Apr 14, 2021 in CA

Enrollment address

3171 Los Feliz Blvd
Ste 202C
Los Angeles, CA 90039-1536

Listed as

Marvi Home Health IncCCN 757336 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Aug 9, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 1

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

• Cameo D Cozart-Chance, M.D.

  • Emergency Medicine Physician
  • West Hills, CA
  • NPI 1619903135

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1023682747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD STE 202C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391536",
            "telephone_number": "323-741-0100",
            "fax_number": "323-337-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD STE 202C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391536",
            "telephone_number": "323-741-0100",
            "fax_number": "323-337-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVI HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-741-0100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Marusak, MD
• Christina Rose Marushok, OTD, OTR/L
• Stephanie Maruska, M.A.
• Jardine Posadas Marvan, N.P.
• Daphne Marvel
• Jennifer Marvil, M.D.
• Marvin B. Carnow D.D.S., Inc.
• Marvin C Lee Chiropractic PC
• Marvin C Lee Chiropractic, PC
• Sarah E Marvin, PH.D.

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 7, 2022; 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.