Zinnia Home Health Care Inc
Organization Active NPI Home Health Agency · Northridge, CA
NPI 1164079406 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1164079406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Mia J Kim
- Title
- President
- Phone
- (747) 236-4447
Affiliated clinicians 4
-
Tatiana Hoeffer, MD
-
Jin Hee Kim, M.D.
-
Justin Youngbin Rheem, M.D.
-
Su Yong Pak, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Zinnia Home Health Care, Inc
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- -
- Certified
- Nov 18, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2328044 | Zinnia Home Health Care Inc | Certificate of waiver | Aug 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Enrollment address
- 16909 Parthenia St
Ste 302a
Northridge, CA 91343-4584
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Mia Jun Kim |
5% Or Greater Direct Ownership Interest | Apr 29, 2025 | 100% |
| Corporate Officer |
Apr 29, 2025 | 100% | |
| Corporate Director |
Apr 29, 2025 | 100% | |
| W-2 Managing Employee |
Apr 29, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191126001345 | CA | Part a Provider - Home Health Agency | 5890128250 | Practice locations: Northridge, CA |
National Provider Directory
Locations
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
Other providers in Northridge, CA
- Jonathan Zeledon
- Veronica Susana Zepeda
- Rong Zhang
- Wei Zhuo
- Ronald Bert Ziman
- Tanya Zoerb
- Maria Zorenkelian
- Zouheir H Elias MD a Professional Corporation
- Perry Philip Zuckerman
All providers in Northridge, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.