Inspired Life Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INSPIRED LIFE HOME HEALTH INC

Practice address

10746 Burbank Blvd Ste D
North Hollywood, CA 91601-2528

Phone

(909) 361-4410

Fax

(909) 361-4440

NPI assigned

Jun 1, 2016

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nakshun Petrosyan

Title

Ceo

Phone

(909) 361-4410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093163842. Details of each certification follow.

• CCN 053152 Home health agency · Active · Details

Home health agency certification: CCN 053152

Legal name

INSPIRED LIFE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 9, 2018

Last certification

Mar 9, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 27, 2016 in CA

Enrollment address

357 W 2ND St
Ste 5
San Bernardino, CA 92401-1803

Listed as

Inspired Life Home Health, Inc.CCN 053152 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Mar 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 1

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.

• Jeko Behfarin, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1689686875

  Home health agency

  Care Compare affiliation
• Artin Shakhbandaryan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Duarte, CA
  • NPI 1477287316

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1093163842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10746 BURBANK BLVD STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012528",
            "telephone_number": "909-361-4410",
            "fax_number": "909-361-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10746 BURBANK BLVD STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012528",
            "telephone_number": "909-361-4410",
            "fax_number": "909-361-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED LIFE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "NAKSHUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-361-4410"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Dec 27, 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.