NPIMap

Organization Active NPI

Amax Care Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1154560654
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMAX CARE SERVICES, INC.
Practice address
936 Crenshaw Blvd
Suite 203
Los Angeles, CA 90019-1949
Phone
(323) 951-0616
Fax
(323) 951-4993
NPI assigned
Feb 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Ms. Mehrangiz Merry Sharifzad
Title
Administrator
Phone
(323) 951-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

936 Crenshaw Blvd
Suite 203
Los Angeles, CA 90019-1949

Mailing address

936 Crenshaw Blvd
Suite 203
Los Angeles, CA 90019-1949
Phone (323) 951-0616

Other names 1

  • Amax Care Services, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090812000635 CA Part A Provider - Home Health Agency 6800940768 Practice locations: Los Angeles, CA

Home health agency certification: CCN 059434

Legal name
AMAX CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 2012
Last certification
Jul 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
936 Crenshaw Blvd
Ste 203
Los Angeles, CA 90019-1949

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amax Care Services, IncCCN 059434
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 11, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2021423Amax Care Services, Inc936 Crenshaw Blvd Ste 203, Los Angeles, CA 90019Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

936 Crenshaw Blvd
Ste 203
Los Angeles, CA 90019
Phone (323) 951-0616

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raquel N Hoyte Individual W-2 Managing EmployeeDPCS & Admin Designee(Clinical Mana Feb 23, 2026 100%
Mehrangiz Merry Sharifzad Individual 5% Or Greater Direct Ownership InterestSecretary, Board Member, Adminis Sep 4, 2008 50%
Corporate OfficerSecretary, Admin, Board Member Sep 4, 2008 50%
Corporate DirectorSecretary, Admin, Board Member Sep 4, 2008 50%
W-2 Managing EmployeeSecretary, Admin, Board Member Sep 4, 2008 50%
Operational/Managerial ControlSecretary, Admin, Board Member Sep 4, 2008 100%
Ali Tabrizi Individual 5% Or Greater Direct Ownership InterestCeo, President, Board Member Sep 4, 2008 50%
Corporate OfficerCeo, President, Board Member Sep 4, 2008 50%
Corporate DirectorCeo, President, Board Member Sep 4, 2008 50%
W-2 Managing EmployeeCeo, President, Board Member Sep 4, 2008 50%
Operational/Managerial ControlCeo, President, Board Member Sep 4, 2008 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1154560654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CRENSHAW BLVD",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191949",
            "telephone_number": "323-951-0616",
            "fax_number": "323-951-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 CRENSHAW BLVD",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191949",
            "telephone_number": "323-951-0616",
            "fax_number": "323-951-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAX CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "SHARIFZAD",
        "authorized_official_first_name": "MEHRANGIZ MERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-951-0616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amax Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.