Active NPI
Lax Home Health Services
- Home Health Agency
- Downey, CA
National Provider Identifier
1144474446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980000736
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ24141Z | Other | BLUE SHIELD PROVIDER NUMBER | |
| HHA07428G | Medicaid | CA |
Other names 1
- DBA: ALPHA GENESIS HOME HEALTH
National Provider Directory
National Provider DirectoryNPI 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.