Organization Active NPI

Unconditional Care Home Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1154997997
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNCONDITIONAL CARE HOME HEALTH
Practice address
14545 Friar St Ste 299-2
Van Nuys, CA 91411-2397
Phone
(818) 452-5005
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
JEK MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Tatevik Mirzoyan
Title
Ceo
Phone
(818) 452-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 299-2
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 299-2
Van Nuys, CA 91411-2397
Phone (818) 452-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221114000940 CA Part A Provider - Home Health Agency 8921489006 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154997997. Details of each certification follow.

Home health agency certification: CCN 757197

Legal name
UNCONDITIONAL CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 8, 2023
Last certification
Feb 17, 2023
Organization structure
CorporationProprietary
Enrollment address
300 N 3Rd St
Ste 306
Burbank, CA 91502-1107

Care Compare: Home health agency

Medicare Care Compare
Listed as
Unconditional Care Home HealthCCN 757197 · All quality measures
Ownership
-
Certified
Mar 8, 2023
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
05D2308633Unconditional Care Home Health14545 Friar Sr Ste 299-2, Van Nuys, CA 91411Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

300 N 3rd St
Ste 306
Burbank, CA 91502
Phone (818) 452-5005

14545 Friar St
Ste 2992
Van Nuys, CA 91411
Phone (818) 452-5005

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Tatevik Mirzoyan Individual 5% Or Greater Indirect Ownership Interest May 27, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary/Admi May 27, 2021 100%
Corporate DirectorCeo/President/Cfo/Secretary/Admi May 27, 2021 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary/Admi May 27, 2021 100%
Jek Managment Organization, Burbank, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1154997997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 299-2",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-452-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 299-2",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-452-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCONDITIONAL CARE HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEK MANAGEMENT",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-452-5005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.