Organization Active NPI

MD Preferred Home Health Inc

  • Home Health Agency
  • Santa Fe Springs, CA
National Provider Identifier
1144799735
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 13, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 559561
Overall star rating
4 of 5
Ownership
-
Certified
Aug 28, 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
05D2167430MD Preferred Home Health Inc12631 Imperial Highway D120, Santa Fe Springs, CA 90670Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ambartsum Akopian Individual 5% Or Greater Direct Ownership InterestOwner Apr 25, 2018 100%
Corporate OfficerPresident/Cfo/ Secretary/Ceo Apr 25, 2018 100%
Corporate DirectorPresident/Cfo/ Secretary/Ceo Apr 25, 2018 100%
W-2 Managing EmployeePresident/Cfo/ Secretary/Ceo Apr 25, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.