Organization Active NPI

Comfort Care Home Health Services,Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1083244693
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMFORT CARE HOME HEALTH SERVICES,INC.
Practice address
7037 Laurel Canyon Blvd Unit 104
North Hollywood, CA 91605-5738
Phone
(818) 579-4012
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Hakop Jack Kyupelian
Title
Ceo
Phone
(818) 579-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7037 Laurel Canyon Blvd Unit 104
North Hollywood, CA 91605-5738

Mailing address

7037 Laurel Canyon Blvd Unit 104
North Hollywood, CA 91605-5738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201002001547 CA Part A Provider - Home Health Agency 6204255722 Practice locations: North Hollywood, CA

Home health agency certification: CCN 559640

Legal name
COMFORT CARE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 4, 2021
Last certification
Jun 4, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 29, 2019 in CA
Enrollment address
7037 Laurel Canyon Blvd
Unit 104
North Hollywood, CA 91605-5738

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comfort Care Home Health Services, IncCCN 559640
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 4, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2288376Comfort Care Home Health Services, Inc7037 Laurel Canyon Blvd, Unit 104, North Hollywood, CA 91605Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Locations

7037 Laurel Canyon Blvd
Ste 104
North Hollywood, CA 91605
Phone (818) 579-4012

Ownership & related parties

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.

NameRoleSinceShare
Hakop Jack Kyupelian Individual 5% Or Greater Direct Ownership Interest Oct 29, 2019 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Oct 29, 2019 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Oct 29, 2019 100%
Julna Jerry Carrillo Individual W-2 Managing EmployeeDPCS/Administrator Oct 29, 2019

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1083244693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 LAUREL CANYON BLVD UNIT 104",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7037 LAUREL CANYON BLVD UNIT 104",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055738",
            "telephone_number": "818-579-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE HOME HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "KYUPELIAN",
        "authorized_official_first_name": "HAKOP JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-579-4012"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.