Esmeralda Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ESMERALDA HOME HEALTH, INC.

Practice address

8123 Foothill Blvd
Sunland, CA 91040-2955

Phone

(626) 380-1919

Fax

(626) 380-1920

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Verzhine Fodolyan

Title

Ceo

Phone

(626) 380-1919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753125

Legal name

ESMERALDA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 6, 2022

Last certification

Apr 6, 2022

Organization structure

CorporationProprietary

Incorporated

Jul 8, 2020 in CA

Enrollment address

8123 Foothill Blvd
Sunland, CA 91040-2955

Listed as

Esmeralda Home Health, IncCCN 753125

Overall star rating

2.5 of 5

Ownership

-

Certified

Apr 6, 2022

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.

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1053922575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402955",
            "telephone_number": "626-380-1919",
            "fax_number": "626-380-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402955",
            "telephone_number": "626-380-1919",
            "fax_number": "626-380-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESMERALDA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "FODOLYAN",
        "authorized_official_first_name": "VERZHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-380-1919"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sunland, CA
• Providers in Sunland, 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 Aug 10, 2020; 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.