Active NPI
LL and HH Home Health Care Inc.
- Home Health Agency
- Pasadena, CA
National Provider Identifier
1083230841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LL AND HH HOME HEALTH CARE INC.
- Practice address
- 1492 W Colorado Blvd Ste 210
Pasadena, CA 91105-1465 - Phone
- (747) 282-2525
- Fax
- (747) 777-5859
- NPI assigned
- Jun 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harutyun Petrosyan
- Title
- Owner/Ceo
- Phone
- (818) 648-4949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1492 W Colorado Blvd Ste 210
Pasadena, CA 91105-1465
Mailing address
1492 W Colorado Blvd Ste 210
Pasadena, CA 91105-1465
Phone (747) 282-2525
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lhlhomecare@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210720002882 | CA | Part A Provider - Home Health Agency | 3971906595 | Practice locations: Pasadena, CA |
Home health agency certification: CCN 559782
- Legal name
- LL AND HH HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 29, 2021
- Last certification
- Sep 29, 2021
- Organization structure
- Corporation
- Incorporated
- May 29, 2020 in CA
- Enrollment address
- 1492 W Colorado Blvd
Ste 210
Pasadena, CA 91105-1465
Care Compare: Home health agency
Medicare Care Compare- Listed as
- LL and HH Home Health Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- Sep 29, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1492 W Colorado Blvd
Ste 210
Pasadena, CA 91105
Phone (747) 282-2525
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rubina Shakhbandaryan | 5% Or Greater Direct Ownership Interest | May 29, 2020 | 100% |
| Corporate Officer | May 29, 2020 | 100% | |
| Corporate Director | May 29, 2020 | 100% | |
| W-2 Managing Employee | May 29, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Pasadena, CA
- NPI 1821084641
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592352000000",
"number": "1083230841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1492 W COLORADO BLVD STE 210",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051465",
"telephone_number": "747-282-2525",
"fax_number": "747-777-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 W COLORADO BLVD STE 210",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051465",
"telephone_number": "747-282-2525",
"fax_number": "747-777-5859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LL AND HH HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A",
"authorized_official_last_name": "PETROSYAN",
"authorized_official_first_name": "HARUTYUN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "818-648-4949"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lhlhomecare@gmail.com",
"affiliation": "N",
"address_1": "1492 W Colorado Blvd Ste 210",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911051465",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.