Hillcrest Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HILLCREST HOME HEALTH INC

Practice address

14531 Hamlin St Ste 208
Van Nuys, CA 91411-4171

Phone

(424) 777-4315

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Rebeka Durgaryan

Title

Ceo

Phone

(424) 777-4315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757406

Legal name

HILLCREST HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2023

Last certification

Sep 15, 2023

Organization structure

CorporationProprietary

Incorporated

Sep 23, 2021 in CA

Enrollment address

14531 Hamlin St
Ste 208
Van Nuys, CA 91411-4124

Listed as

Hillcrest Home Health IncCCN 757406

Overall star rating

4 of 5

Ownership

-

Certified

Sep 15, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

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

• Paul Fortaleza, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • North Hollywood, CA
  • NPI 1336368190

  Home health agency

  Care Compare affiliation
• Armen Hovhannisyan, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1740488998

  Home health agency

  Care Compare affiliation
• Shi Tang

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1023695814

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1124790696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114171",
            "telephone_number": "424-777-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14531 HAMLIN ST STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114171",
            "telephone_number": "424-777-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "DURGARYAN",
        "authorized_official_first_name": "REBEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-777-4315"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hill Home Health
• Garrett Jacob David Hill
• Ira Hill, DMD
• Shaun Douglas Hill
• Sheryl Hill, C.HT.
• Hillquist Chiropractic Health Center Inc
• Daniel C. Hillquist, D.C.
• Rebecca Lynn Hinchliffe, P.T.
• Nazeli Hindoian
• Roland Hinds

• All providers in Van Nuys, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.