Magic Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAGIC CARE HOME HEALTH, INC.

Practice address

7251 Owensmouth Ave Ste 12
Canoga Park, CA 91303-3968

Phone

(818) 650-3968

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Olena Revega

Title

President/Ceo

Phone

(818) 650-2727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559294

Legal name

MAGIC CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 13, 2020

Last certification

Jul 13, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 19, 2018 in CA

Enrollment address

10720 Riverside Dr
Ste a
North Hollywood, CA 91602-2313

Listed as

Magic Care Home Health, IncCCN 559294

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jul 13, 2020

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 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 6

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

• Alexandra Cervantes

  • Family Medicine Physician
  • San Fernando, CA
  • NPI 1649858861

  Home health agency

  Care Compare affiliation
• Stephanie Regena Green, MD

  • Internal Medicine Physician
  • San Fernando, CA
  • NPI 1114045200

  Home health agency

  Care Compare affiliation
• Steven Groke, MD

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1255629994

  Home health agency

  Care Compare affiliation
• Dieu Thu Khoa Nguyen, MD

  • Internal Medicine Physician
  • San Fernando, CA
  • NPI 1720013105

  Home health agency

  Care Compare affiliation
• Smita Subramaniam, MD

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1487756037

  Home health agency

  Care Compare affiliation
• Michael Tehrani, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1427320704

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1043796253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 OWENSMOUTH AVE STE 12",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033968",
            "telephone_number": "818-650-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 OWENSMOUTH AVE STE 12",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033968",
            "telephone_number": "818-650-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "REVEGA",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-650-2727"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Madrigal
• Christian Madrueno
• Esmeralda Magana
• Lyra Magdalena
• Remy Moriah Maggiore
• Magnus Hospice Corp.
• Mila Magtaghyan
• Mahdi Paridari, M.D. Inc.
• Eman Mahmoud
• Tony Mai, PHARMD

• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, 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 Jul 11, 2018; 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.