Organization Active NPI

LL and HH Home Health Care Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1083230841
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 17, 2020

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL lhlhomecare@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559782
Overall star rating
3.5 of 5
Ownership
-
Certified
Sep 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Rubina Shakhbandaryan Individual 5% Or Greater Direct Ownership Interest May 29, 2020 100%
Corporate OfficerCeo May 29, 2020 100%
Corporate DirectorCeo May 29, 2020 100%
W-2 Managing EmployeeCeo May 29, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.