Organization Active NPI

Max Care Home Health Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1104572023
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAX CARE HOME HEALTH INC
Practice address
6260 Laurel Canyon Blvd Ste 204
North Hollywood, CA 91606-3243
Phone
(818) 809-2462
Fax
(818) 570-9866
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Marine Danielyan
Title
Ceo,Cfo,Secretary
Phone
(818) 809-2462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6260 Laurel Canyon Blvd Ste 204
North Hollywood, CA 91606-3243

Mailing address

6260 Laurel Canyon Blvd Ste 204
North Hollywood, CA 91606-3243
Phone (818) 809-2462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607003065 CA Part A Provider - Home Health Agency 0941742753 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757921

Legal name
MAX CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2025
Last certification
Feb 5, 2025
Organization structure
CorporationProprietary
Incorporated
Jan 11, 2022 in CA
Enrollment address
6260 Laurel Canyon Blvd
Ste 204
North Hollywood, CA 91606-3243

Care Compare: Home health agency

Medicare Care Compare
Listed as
Max Care Home Health IncCCN 757921
Ownership
-
Certified
Feb 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6260 Laurel Canyon Blvd
Ste 204
North Hollywood, CA 91606
Phone (818) 809-2462

14545 Friar St
Ste 344
Van Nuys, CA 91411
Phone (818) 809-2462

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
Marine Danielyan Individual 5% Or Greater Direct Ownership InterestOwner, Ceo, Cfo, Secretary Jan 11, 2022 100%
Corporate OfficerOwner, Ceo, Cfo, Secretary Jan 11, 2022 100%
Corporate DirectorOwner, Ceo, Cfo, Secretary Jan 11, 2022 100%
W-2 Managing EmployeeOwner, Ceo, Cfo, Secretary Jan 11, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1104572023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 LAUREL CANYON BLVD STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063243",
            "telephone_number": "818-809-2462",
            "fax_number": "818-570-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 LAUREL CANYON BLVD STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063243",
            "telephone_number": "818-809-2462",
            "fax_number": "818-570-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO,CFO,SECRETARY",
        "authorized_official_telephone_number": "818-809-2462"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.