Ultimate Care Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ULTIMATE CARE HOME HEALTH SERVICES, INC

Practice address

17050 Chatsworth St Ste 120
Granada Hills, CA 91344-5978

Phone

(818) 456-0556

Fax

(323) 978-6181

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Ovanes Arakelyan

Title

Ceo

Phone

(818) 456-0556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757616

Legal name

ULTIMATE CARE HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 23, 2024

Last certification

Apr 19, 2024

Organization structure

CorporationProprietary

Enrollment address

18345 Ventura Blvd
Ste 318
Tarzana, CA 91356-4242

Listed as

Ultimate Care Home Health Services, IncCCN 757616

Overall star rating

2.5 of 5

Ownership

-

Certified

Apr 23, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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 4

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

• Marta Ima Atalla, M.D.

  • Specialist
  • San Fernando, CA
  • NPI 1457687204

  Home health agency

  Care Compare affiliation
• Jack Azad, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1841489440

  Home health agency

  Care Compare affiliation
• Max Mahmoud Ghannadi, M.D.,

  • General Practice Physician
  • Van Nuys, CA
  • NPI 1114191798

  Home health agency

  Care Compare affiliation
• Rajendra Prasad, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1427119536

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1114679578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 CHATSWORTH ST STE 120",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445978",
            "telephone_number": "818-456-0556",
            "fax_number": "323-978-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 CHATSWORTH ST STE 120",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445978",
            "telephone_number": "818-456-0556",
            "fax_number": "323-978-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "OVANES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-456-0556"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Granada Hills, CA
• Providers in Granada 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 Jan 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.