Organization Active NPI

Bloom Home Health Care Inc

  • Home Health Agency
  • West Hills, CA
National Provider Identifier
1104406917
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLOOM HOME HEALTH CARE INC
Practice address
23101 Sherman PL Ste 421
West Hills, CA 91307-2035
Phone
(747) 444-9055
Fax
(747) 444-4011
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Hassan Zare
Title
Ceo
Phone
(747) 444-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

23101 Sherman PL Ste 421
West Hills, CA 91307-2035

Mailing address

23101 Sherman PL Ste 421
West Hills, CA 91307-2035
Phone (747) 444-9055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231214002187 CA Part A Provider - Home Health Agency 1456700533 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 758015

Legal name
BLOOM HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 23, 2025
Last certification
Mar 26, 2025
Organization structure
CorporationProprietary
Incorporated
May 10, 2022 in CA
Enrollment address
22151 Ventura Blvd
Ste 204B
Woodland Hills, CA 91364-1666

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bloom Home Health Care IncCCN 758015
Ownership
-
Certified
Apr 23, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

23101 Sherman Pl
Ste 421
West Hills, CA 91307
Phone (747) 444-9055

22151 Ventura Blvd
Ste 204B
Woodland Hills, CA 91364
Phone (818) 970-7850

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
Sam Javanmard Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary/Owner May 10, 2022 100%
Corporate OfficerCeo/Cfo/Secretary/Owner May 10, 2022 100%
Corporate DirectorCeo/Cfo/Secretary/Owner May 10, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Owner May 10, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1104406917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 421",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072035",
            "telephone_number": "747-444-9055",
            "fax_number": "747-444-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 421",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072035",
            "telephone_number": "747-444-9055",
            "fax_number": "747-444-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "ZARE",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-444-9055"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.