Organization Active NPI

Dina Sova Home Health Care, Inc.

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1134718596
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DINA SOVA HOME HEALTH CARE, INC.
Practice address
1480 Colorado Blvd Ste 100
Los Angeles, CA 90041-2368
Phone
(747) 247-0701
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Nazeli Gamityan
Title
Ceo
Phone
(747) 247-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1480 Colorado Blvd Ste 100
Los Angeles, CA 90041-2368

Mailing address

1480 Colorado Blvd Ste 100
Los Angeles, CA 90041-2368
Phone (747) 247-0701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817000304 CA Part A Provider - Home Health Agency 5193120061 Practice locations: Burbank, CA

Home health agency certification: CCN 559754

Legal name
DINA SOVA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 4, 2021
Last certification
Nov 4, 2021
Organization structure
CorporationProprietary
Enrollment address
3100 W Burbank Blvd
Ste 106
Burbank, CA 91505-2348

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dina Sova Home Health Care, Inc.CCN 559754
Overall star rating
3 of 5
Ownership
-
Certified
Nov 4, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2301236Dina Sova Home Health Care Inc3100 W Burbank Blvd, Ste 106, Burbank, CA 91505Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Locations

3100 W Burbank Blvd
Ste 106
Burbank, CA 91505
Phone (747) 247-0701

1480 Colorado Blvd
Ste 100
Los Angeles, CA 90041
Phone (747) 247-0701

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
Nazeli Gamityan Individual 5% Or Greater Direct Ownership InterestCeo Oct 20, 2020 100%
Corporate OfficerCeo Oct 20, 2020 100%
Corporate DirectorCeo Oct 20, 2020 100%
W-2 Managing EmployeeCeo Oct 20, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1134718596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412368",
            "telephone_number": "747-247-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412368",
            "telephone_number": "747-247-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINA SOVA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "GAMITYAN",
        "authorized_official_first_name": "NAZELI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-247-0701"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.