Evolve Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVOLVE HOME HEALTH

Practice address

30851 Agoura Rd Ste 310
Agoura Hills, CA 91301-4312

Phone

(747) 230-4215

Fax

(818) 337-2445

NPI assigned

Sep 15, 2020

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

EVOLVE INVESTMENT GROUPAs reported in NPPES

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

Authorized official

Name

Nogol PedramNPI 1578055364

Title

Owner

Phone

(747) 230-4215

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 1104431147. Details of each certification follow.

• CCN 753175 Home health agency · Active · Details

Home health agency certification: CCN 753175

Legal name

EVOLVE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 28, 2022

Last certification

Jul 28, 2022

Organization structure

CorporationProprietary

Incorporated

Sep 8, 2020 in CA

Enrollment address

22048 Sherman Way
Ste 313
Canoga Park, CA 91303-3014

Listed as

Evolve Home HealthCCN 753175 · All quality measures

Overall star rating

1.5 of 5

Ownership

-

Certified

Jul 28, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nogol Pedram

  • Physical Therapy Clinic/Center
  • Westlake Village, CA
  • NPI 1578055364
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kulraj Singh Grewal, MD

  • Internal Medicine Physician
  • Madera, CA
  • NPI 1033775812

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1104431147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30851 AGOURA RD STE 310",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014312",
            "telephone_number": "747-230-4215",
            "fax_number": "818-337-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30851 AGOURA RD STE 310",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014312",
            "telephone_number": "747-230-4215",
            "fax_number": "818-337-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOLVE INVESTMENT GROUP",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "PEDRAM",
        "authorized_official_first_name": "NOGOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-230-4215"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ergonomically Correct, Inc.
• Riley Nicholle Escover, MA LMFT
• Alifa Esmail, PHARMD
• Esteem Dermatology Medical Group, Incorporated
• Evolve Growth Initiatives LLC
• Extended Life Home Health
• Ako Eyong
• Sloane Fabricius, LMFT
• Family Psychological Services Inc
• Youstina Farag

• Home Health Agency in Agoura Hills, CA
• Providers in Agoura Hills, 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 Nov 10, 2025; 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.