Active NPI
Belmont Home Health Care, Inc
- Home Health Agency
- Encino, CA
National Provider Identifier
1033723952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BELMONT HOME HEALTH CARE, INC
- Practice address
- 16661 Ventura Blvd Ste 506
Encino, CA 91436-1935 - Phone
- (818) 855-1681
- NPI assigned
- Sep 8, 2020
- 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
- Nooshin Khani
- Title
- Ceo
- Phone
- (747) 777-9671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
16661 Ventura Blvd Ste 506
Encino, CA 91436-1935
Mailing address
460 S Central Ave Unit a
Glendale, CA 91204-1602
Phone (747) 777-9671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210909002763 | CA | Part A Provider - Home Health Agency | 5991101354 | Practice locations: Encino, CA |
Home health agency certification: CCN 559760
- Legal name
- BELMONT HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 17, 2021
- Last certification
- Nov 17, 2021
- Organization structure
- Corporation
- Enrollment address
- 16661 Ventura Blvd
Ste 506
Encino, CA 91436-1935
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Belmont Home Health Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- Nov 17, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
16661 Ventura Blvd
Ste 506
Encino, CA 91436
Phone (747) 777-9671
460 S Central Ave
Unit A
Glendale, CA 91204
Phone (747) 777-9671
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nooshin Khani | 5% Or Greater Direct Ownership Interest | Jul 31, 2020 | 100% |
| Corporate Officer | Jul 31, 2020 | 100% | |
| Corporate Director | Jul 31, 2020 | 100% | |
| W-2 Managing Employee | Jul 31, 2020 | 100% | |
| Gohar Hakobyan | W-2 Managing Employee | Apr 1, 2026 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1982650776
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710892800000",
"number": "1033723952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 S CENTRAL AVE UNIT A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041602",
"telephone_number": "747-777-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16661 VENTURA BLVD STE 506",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361935",
"telephone_number": "818-855-1681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELMONT HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-08",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A",
"authorized_official_last_name": "KHANI",
"authorized_official_first_name": "NOOSHIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-777-9671"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.