Organization Active NPI

Lax Home Health Services

  • Home Health Agency
  • Downey, CA
National Provider Identifier
1144474446
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000736 Issued in CA
Legal business name
LAX HOME HEALTH SERVICES
Practice address
8109 2ND St Ste 3
Downey, CA 90241-3623
Phone
(562) 923-3990
Fax
(562) 923-2440
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Mrs. Myrian Melnechuk, OT
Title
Administrator, Ceo
Phone
(562) 923-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980000736 CA Primary

Addresses

Primary practice location

8109 2ND St Ste 3
Downey, CA 90241-3623

Mailing address

8109 2ND Street Suite#3
Downey, CA 90241
Phone (562) 923-3990

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ24141ZOtherBLUE SHIELD PROVIDER NUMBER
HHA07428GMedicaidCA

Other names 1

  • DBA: ALPHA GENESIS HOME HEALTH Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1144474446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 2ND STREET SUITE#3",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-923-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 2ND ST STE 3",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413623",
            "telephone_number": "562-923-3990",
            "fax_number": "562-923-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAX HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "MELNECHUK",
        "authorized_official_first_name": "MYRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "562-923-3990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMBER",
            "identifier": "ZZZ24141Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07428G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: ALPHA GENESIS HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.