Mma Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MMA HOME HEALTH CARE INC

Practice address

3800 W Burbank Blvd Ste 105
Burbank, CA 91505-2148

Phone

(747) 240-6100

Fax

(747) 240-6099

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Merry Avetisyan

Title

Ceo

Phone

(818) 260-9975

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 1063926830. Details of each certification follow.

• CCN 559039 Home health agency · Active · Details

Home health agency certification: CCN 559039

Legal name

MMA HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 26, 2019

Last certification

Jun 26, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

3800 W Burbank Blvd
Ste 105
Burbank, CA 91505-2148

Listed as

Mma Home Health Care, IncCCN 559039 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jun 26, 2019

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.

Affiliated clinicians 4

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

• Paul Fortaleza, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • North Hollywood, CA
  • NPI 1336368190

  Home health agency

  Care Compare affiliation
• Vlad Nusinovich, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1144288036

  Home health agency

  Care Compare affiliation
• Cesar A Velez, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1922043587

  Home health agency

  Care Compare affiliation
• Lilia Regina Wexley, M.D

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1407868433

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1063926830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W BURBANK BLVD STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052148",
            "telephone_number": "747-240-6100",
            "fax_number": "747-240-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W BURBANK BLVD STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052148",
            "telephone_number": "747-240-6100",
            "fax_number": "747-240-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "MERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-260-9975"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Henrik Mkrtchyan, PHARMD
• MLHH, Inc.
• Bella Mnatsakanyan, D.D.S.
• Louis Mo, D.D.S
• Modern Health Institute
• Modern Smiles Dental Group
• Meril Surendra Modi, D.D.S.

• Home Health Agency in Burbank, CA
• Providers in Burbank, 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 May 5, 2022; 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.