Organization Active NPI

Zinnia Home Health Care Inc

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1164079406
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ZINNIA HOME HEALTH CARE INC
Practice address
16909 Parthenia St Ste 302a
Northridge, CA 91343-4584
Phone
(747) 236-4447
Fax
(747) 236-4465
NPI assigned
Aug 21, 2019
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mia J Kim
Title
President
Phone
(747) 236-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16909 Parthenia St Ste 302a
Northridge, CA 91343-4584

Mailing address

16909 Parthenia St Ste 302a
Northridge, CA 91343-4584
Phone (747) 236-4447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191126001345 CA Part A Provider - Home Health Agency 5890128250 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164079406. Details of each certification follow.

Home health agency certification: CCN 559703

Legal name
ZINNIA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 18, 2021
Last certification
Nov 18, 2021
Organization structure
CorporationProprietary
Enrollment address
16909 Parthenia St
Ste 302a
Northridge, CA 91343-4584

Care Compare: Home health agency

Medicare Care Compare
Listed as
Zinnia Home Health Care, IncCCN 559703 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Nov 18, 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
05D2328044Zinnia Home Health Care Inc16909 Parthenia St #302a, Northridge, CA 91343Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Locations

16909 Parthenia St
Ste 302A
Northridge, CA 91343
Phone (818) 221-3289

4730 Woodman Ave
Ste 302B
Sherman Oaks, CA 91423
Phone (818) 290-3361

7540 Balboa Blvd
Ste 8
Van Nuys, CA 91406
Phone (818) 290-3361

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
Mia Jun Kim Individual 5% Or Greater Direct Ownership Interest Apr 29, 2025 100%
Corporate OfficerCeo/Administrator/Don Apr 29, 2025 100%
Corporate DirectorCeo/Administrator/Don Apr 29, 2025 100%
W-2 Managing EmployeeCeo/Administrator/Don Apr 29, 2025 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1164079406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 PARTHENIA ST STE 302A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434584",
            "telephone_number": "747-236-4447",
            "fax_number": "747-236-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 PARTHENIA ST STE 302A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434584",
            "telephone_number": "747-236-4447",
            "fax_number": "747-236-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINNIA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-236-4447"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.