Active NPI
Max Care Home Health Inc
- Home Health Agency
- North Hollywood, CA
National Provider Identifier
1104572023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Feb 6, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marine Danielyan | 5% Or Greater Direct Ownership Interest | Jan 11, 2022 | 100% |
| Corporate Officer | Jan 11, 2022 | 100% | |
| Corporate Director | Jan 11, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.