Organization Active NPI

American Ata Home Health Agency Inc

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1063071744
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICAN ATA HOME HEALTH AGENCY INC
Practice address
5311 Topanga Canyon Blvd Ste 202
Woodland Hills, CA 91364-1771
Phone
(747) 224-1471
NPI assigned
Jun 6, 2019
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Elham Shooreshi
Title
Ceo/President
Phone
(747) 224-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5311 Topanga Canyon Blvd Ste 202
Woodland Hills, CA 91364-1771

Mailing address

5311 Topanga Canyon Blvd Ste 202
Woodland Hills, CA 91364-1771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200212002510 CA Part A Provider - Home Health Agency 4082040944 Practice locations: Woodland Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063071744. Details of each certification follow.

Home health agency certification: CCN 559791

Legal name
AMERICAN ATA HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2021
Last certification
Oct 21, 2021
Organization structure
CorporationProprietary
Incorporated
May 6, 2019 in CA
Enrollment address
5311 Topanga Canyon Blvd
Ste 202
Woodland Hills, CA 91364-1771

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Ata Home Health Agency, IncCCN 559791 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Oct 21, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5311 Topanga Canyon Blvd
Ste 202
Woodland Hills, CA 91364
Phone (747) 224-1471

Ownership & related parties

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.

NameRoleSinceShare
Elham Shooreshi Individual 5% Or Greater Direct Ownership InterestOwner May 6, 2019 100%
Corporate OfficerCep/President/Owner/Admin/100% O May 6, 2019 100%
Corporate DirectorCep/President/Owner/Admin/100% O May 6, 2019 100%
W-2 Managing EmployeeCep/President/Owner/Admin/100% O May 6, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1063071744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 202",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641771",
            "telephone_number": "747-224-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ATA HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "SHOORESHI",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "747-224-1471"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.