Organization Active NPI

All Inclusive Home Care Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1104437763
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALL INCLUSIVE HOME CARE INC
Practice address
6819 Sepulveda Blvd Ste 206
Van Nuys, CA 91405-4440
Phone
(818) 800-7676
NPI assigned
Aug 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Authorized official

Name
Hovik Drmoyan
Title
Ceo
Phone
(818) 800-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6819 Sepulveda Blvd Ste 206
Van Nuys, CA 91405-4440

Mailing address

6819 Sepulveda Blvd Ste 206
Van Nuys, CA 91405-4440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201030002034 CA Part A Provider - Home Health Agency 2961812078 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559676

Legal name
ALL INCLUSIVE HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 2021
Last certification
Nov 9, 2021
Organization structure
CorporationProprietary
Incorporated
Jul 30, 2020 in CA
Enrollment address
6819 Sepulveda Blvd
Ste 206
Van Nuys, CA 91405-4440

Care Compare: Home health agency

Medicare Care Compare
Listed as
All Inclusive Home Care, Inc.CCN 559676
Overall star rating
3 of 5
Ownership
-
Certified
Nov 9, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2292890All Inclusive Home Care6819 Sepulveda Blvd, Suite # 206, Van Nuys, CA 91405Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory

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
Hovik Drmoyan Individual 5% Or Greater Direct Ownership Interest Jul 30, 2020 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Jul 30, 2020 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Jul 30, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Jul 30, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1104437763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 SEPULVEDA BLVD STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 SEPULVEDA BLVD STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054440",
            "telephone_number": "818-800-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL INCLUSIVE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "DRMOYAN",
        "authorized_official_first_name": "HOVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-800-7676"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.