Mobile-Care Home Health Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOBILE-CARE HOME HEALTH AGENCY, INC

Practice address

4419 Van Nuys Blvd Ste 404
Sherman Oaks, CA 91403-5741

Phone

(747) 281-2303

Fax

(747) 281-2301

NPI assigned

Dec 19, 2018

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arbi Davtyan

Title

Ceo

Phone

(747) 281-2303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114499852. Details of each certification follow.

• CCN 757055 Home health agency · Active · Details

Home health agency certification: CCN 757055

Legal name

MOBILE-CARE HOME HEALTH AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 15, 2022

Last certification

Nov 2, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 4, 2018 in AR

Enrollment address

4419 Van Nuys Blvd
Ste 404
Sherman Oaks, CA 91403-5741

Listed as

Mobile-Care Home Health Agency, IncCCN 757055 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Nov 15, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 5

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

• George Barnes Jr., MD

  • Surgery Physician
  • Valencia, CA
  • NPI 1144293119

  Home health agency

  Care Compare affiliation
• Bridgett Lerma, MSN APRN FNP-C

  • Nurse Practitioner
  • Ventura, CA
  • NPI 1982279634

  Home health agency

  Care Compare affiliation
• Gevork Joe Maissian, D.O.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1639320658

  Home health agency

  Care Compare affiliation
• Philip Morgan, M.D.

  • Pain Medicine Physician
  • Encino, CA
  • NPI 1548211931

  Home health agency

  Care Compare affiliation
• Hoda Naei, DPM

  • Podiatrist
  • Santa Monica, CA
  • NPI 1417518374

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1114499852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 404",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035741",
            "telephone_number": "747-281-2303",
            "fax_number": "747-281-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 404",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035741",
            "telephone_number": "747-281-2303",
            "fax_number": "747-281-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE-CARE HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ARBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-281-2303"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114499852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachel Leigh Moghimi, LCSW
• Adam Gregory Mogil, PA-C
• Mohammad Vafadar DDS.Inc
• Gisoo Mohandesi, LMFT

• Home Health Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Sep 26, 2022; 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.