Suffolk Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUFFOLK HOME HEALTH, INC

Practice address

124 E Santa Fe Ave # 203
Azusa, CA 91702-2526

Phone

(626) 239-1815

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Arman Mkrtchian

Title

Ceo

Phone

(626) 239-1815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757972

Legal name

SUFFOLK HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 1, 2023

Last certification

Oct 5, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 24, 2020 in CA

Enrollment address

124 E Santa Fe Ave
Ste 203
Azusa, CA 91702-2526

Listed as

Suffolk Home Health, IncCCN 757972

Ownership

-

Certified

Dec 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 3

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

• Tosha Nashay Brown, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Baldwin Park, CA
  • NPI 1801030622

  Home health agency

  Care Compare affiliation
• Reuven Fernandez Sison, M.D.

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1225143274

  Home health agency

  Care Compare affiliation
• Aaron Khoi Minh Tran, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1841453032

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1164013355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E SANTA FE AVE # 203",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022526",
            "telephone_number": "626-239-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E SANTA FE AVE # 203",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022526",
            "telephone_number": "626-239-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "MKRTCHIAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-239-1815"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Pacific Rehabilitation Services, Inc
• Brenda Nicole Stagnaro
• Dale Stanhope
• Bethany Stutzman
• Weizhong Su, DDS
• Sheela Surapaneni, M.D.
• Riplee Marie Tafoya
• Linda Weiching Tang-Lin, PHARMD
• Roderic J Tate
• Tavarua Medical Rehabilitation Services

• Home Health Agency in Azusa, CA
• Providers in Azusa, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.

Verify at the official NPI Registry.