Medi-Kare1 Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDI-KARE1 INC

Practice address

21300 Victory Blvd Ste 680
Woodland Hills, CA 91367-8020

Phone

(818) 522-6427

Fax

(844) 270-3671

NPI assigned

Jul 26, 2013

Organization subpart

No

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

Authorized official

Name

Kianoosh Mehrpour, B.A.

Title

C.F.O.

Phone

(818) 522-6427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059775

Legal name

MEDI-KARE1, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 5, 2016

Last certification

May 8, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 29, 2013 in CA

Enrollment address

21300 Victory Blvd
Ste 680
Woodland Hills, CA 91367-8020

Listed as

Medi-Kare1 IncCCN 059775

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Aug 5, 2016

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 1

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

• Arash Vahdat, M.D

  • Interventional Cardiology Physician
  • Tarzana, CA
  • NPI 1225134232

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1083056360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 VICTORY BLVD STE 680",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913678020",
            "telephone_number": "818-522-6427",
            "fax_number": "844-270-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 VICTORY BLVD STE 680",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913678020",
            "telephone_number": "818-522-6427",
            "fax_number": "844-270-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-KARE1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MEHRPOUR",
        "authorized_official_first_name": "KIANOOSH",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "818-522-6427",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe McNair, PH.D, MFT
• Pamela McNair, MFT
• Annie E McRae, NC
• Meadow Hospice
• John K. Medders, MD
• Medi-Transp Inc.
• Brandi Medina
• Breanna Medina
• Jimena Medina
• Kaylie Cassandra Medina

• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Oct 19, 2023; 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.