Medco Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDCO HOME HEALTH CARE, INC.

Practice address

3200 Wilshire Blvd Ste 1505
Los Angeles, CA 90010-1318

Phone

(213) 529-4301

Fax

(213) 529-4302

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Vache Khanoyan

Title

Ceo

Phone

(213) 529-4301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 553121

Legal name

MEDCO HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 9, 2018

Last certification

Oct 9, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

3200 Wilshire Blvd
Ste 1505
Los Angeles, CA 90010-1318
HHA Branch

Listed as

Medco Home Health Care IncCCN 553121

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Oct 9, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

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

• Brian Keith Gamble, M.D.

  • Diagnostic Radiology Physician
  • Toluca Lake, CA
  • NPI 1568478436

  Home health agency

  Care Compare affiliation
• Julio V Guzman, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1184653628

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1083062590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WILSHIRE BLVD STE 1505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101318",
            "telephone_number": "213-529-4301",
            "fax_number": "213-529-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WILSHIRE BLVD STE 1505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101318",
            "telephone_number": "213-529-4301",
            "fax_number": "213-529-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "KHANOYAN",
        "authorized_official_first_name": "VACHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-529-4301"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-X Drug & Alcohol Testing Services
• Sandya Nilmini Medagoda
• Khalid Medani, M.D.
• Noelle Anne Marie Medbery, ASW
• Medbetter Health Solutions, LLC
• Medcoast Medservices, Inc.
• Helena V Medeiros, MSW
• Jacqueline Medeiros, L.AC
• Carolina Medel, COUSELOR
• Jesse Medel

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 21, 2024; 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.