Authentic Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AUTHENTIC HOME HEALTH CARE, INC.

Practice address

2667 N Moorpark Rd Ste 203
Thousand Oaks, CA 91360-3011

Phone

(805) 241-4411

NPI assigned

Apr 8, 2019

Last updated

Jun 11, 2019By 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

Arman Davtyan

Title

Ceo

Phone

(805) 241-4411

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 1043773039. Details of each certification follow.

• CCN 559512 Home health agency · Active · Details

Home health agency certification: CCN 559512

Legal name

AUTHENTIC HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 3, 2021

Last certification

Mar 3, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 3, 2018 in CA

Enrollment address

2667 N Moorpark Rd
Ste 203
Thousand Oaks, CA 91360-3011
HHA Branch

Listed as

Authentic Home Health Care, IncCCN 559512 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Mar 3, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

• Yeranuhi Yera Hambardzumyan

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1295565562

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yeranuhi Yera Hambardzumyan

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1295565562
  NPD

Affiliated clinicians 1

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

• Johnpaul Singh, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1982087847

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1043773039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 N MOORPARK RD STE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603011",
            "telephone_number": "805-241-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 N MOORPARK RD STE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603011",
            "telephone_number": "805-241-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-241-4411"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atnep Care LLC
• Jeanie Au, ASW
• Gregory Audino
• David Aufrichtig, MD
• Kailyn Aune
• Authentic Hospice Care, Inc.
• Kristina Avakumov
• Genevieve Avalos
• Saro Avedikian
• Avenida Living Home, Inc.

• Home Health Agency in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 11, 2019; 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.