Los Angeles Home Health Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LOS ANGELES HOME HEALTH CARE AGENCY, INC.

Practice address

2741 S Robertson Blvd FL 2
Los Angeles, CA 90034-2403

Phone

(310) 559-2290

Fax

(310) 559-0940

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kameria Ibrahim

Title

President

Phone

(310) 559-2290

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058161

Legal name

LOS ANGELES HOME HEALTH CARE AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 10, 2003

Last certification

Jun 6, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2741 S Robertson Blvd
FL 2
Los Angeles, CA 90034-2403

Listed as

Los Angeles Home Health CareCCN 058161

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Feb 10, 2003

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

Locations

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.

Affiliated clinicians 2

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

• Amin Khorsandi, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1275547390

  Home health agency

  Care Compare affiliation
• Neal Shanblatt, M.D.

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1922092410

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1043360464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 S ROBERTSON BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342403",
            "telephone_number": "310-559-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 S ROBERTSON BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342403",
            "telephone_number": "310-559-2290",
            "fax_number": "310-559-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "KAMERIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-559-2290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08161F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 7, 2008; 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.