Active NPI
MD Preferred Home Health Inc
- Home Health Agency
- Santa Fe Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MD PREFERRED HOME HEALTH INC
- Practice address
- 12631 Imperial Hwy Ste D120
Santa Fe Springs, CA 90670-6747 - Phone
- (562) 484-0006
- Fax
- (562) 484-0007
- NPI assigned
- Nov 13, 2018
- 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
- Mr. Ambartsum Akopian
- Title
- President
- Phone
- (562) 484-0006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12631 Imperial Hwy Ste D120
Santa Fe Springs, CA 90670-6747
Mailing address
12631 Imperial Hwy Ste D120
Santa Fe Springs, CA 90670-6747
Phone (562) 484-0006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190618000389 | CA | Part A Provider - Home Health Agency | 6608109053 | Practice locations: Santa Fe Springs, CA |
Home health agency certification: CCN 559561
- Legal name
- MD PREFERRED HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 28, 2021
- Last certification
- Aug 26, 2021
- Organization structure
- Corporation
- Incorporated
- Apr 25, 2018 in CA
- Enrollment address
- 12631 Imperial Hwy
Ste D120
Santa Fe Springs, CA 90670-6747
Care Compare: Home health agency
Medicare Care Compare- Listed as
- MD Preferred Home Health Inc.
- Overall star rating
- Ownership
- -
- Certified
- Aug 28, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2167430 | MD Preferred Home Health Inc | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
12631 Imperial Hwy
Ste D120
Santa Fe Springs, CA 90670
Phone (562) 484-0006
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ambartsum Akopian | 5% Or Greater Direct Ownership Interest | Apr 25, 2018 | 100% |
| Corporate Officer | Apr 25, 2018 | 100% | |
| Corporate Director | Apr 25, 2018 | 100% | |
| W-2 Managing Employee | Apr 25, 2018 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Montebello, CA
- NPI 1295759694
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542067200000",
"number": "1144799735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12631 IMPERIAL HWY STE D120",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706747",
"telephone_number": "562-484-0006",
"fax_number": "562-484-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 IMPERIAL HWY STE D120",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906706747",
"telephone_number": "562-484-0006",
"fax_number": "562-484-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD PREFERRED HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A",
"authorized_official_last_name": "AKOPIAN",
"authorized_official_first_name": "AMBARTSUM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-484-0006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.