Active NPI
Bloom Home Health Care Inc
- Home Health Agency
- West Hills, CA
National Provider Identifier
1104406917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Apr 23, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sam Javanmard | 5% Or Greater Direct Ownership Interest | May 10, 2022 | 100% |
| Corporate Officer | May 10, 2022 | 100% | |
| Corporate Director | May 10, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.