Organization Active NPI

Care Fort Home Health, Inc.

  • Home Health Agency
  • Azusa, CA
National Provider Identifier
1063003259
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE FORT HOME HEALTH, INC.
Practice address
124 E Santa Fe Ave # 201
Azusa, CA 91702-2526
Phone
(626) 210-2265
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Arman Mkrtchian
Title
Ceo
Phone
(626) 210-2265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

124 E Santa Fe Ave # 201
Azusa, CA 91702-2526

Mailing address

124 E Santa Fe Ave # 201
Azusa, CA 91702-2526
Phone (626) 210-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107001080 CA Part A Provider - Home Health Agency 3274900170 Practice locations: Azusa, CA

Home health agency certification: CCN 757971

Legal name
CARE FORT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 11, 2023
Last certification
Oct 12, 2023
Organization structure
CorporationProprietary
Enrollment address
124 E Santa Fe Ave
Ste 201
Azusa, CA 91702-2526

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Fort Home Health, Inc.CCN 757971
Ownership
-
Certified
Dec 11, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

124 E Santa Fe Ave
#201
Azusa, CA 91702
Phone (626) 210-2265

124 E Santa Fe Ave
Ste 201
Azusa, CA 91702
Phone (626) 210-2265

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.

NameRoleSinceShare
Arman Mkrtchian Individual 5% Or Greater Direct Ownership InterestCeo / Cfo / Secretary / Owner Jul 24, 2020 100%
Corporate OfficerCeo / Cfo / Secretary / Owner Jul 24, 2020 100%
Corporate DirectorCeo / Cfo / Secretary / Owner Jul 24, 2020 100%
Jenny Sanchez Individual W-2 Managing EmployeeDPCS / Administrator Jul 24, 2020

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1063003259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E SANTA FE AVE # 201",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022526",
            "telephone_number": "626-210-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E SANTA FE AVE # 201",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022526",
            "telephone_number": "626-210-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FORT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "MKRTCHIAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-210-2265"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

Verify at the official NPI Registry.