Cosmopolitan Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000779 Issued in CA

Legal business name

COSMOPOLITAN HEALTHCARE, INC

Practice address

21860 Burbank Blvd
Suite 180
Woodland Hills, CA 91367-6477

Phone

(818) 888-3385

Fax

(818) 888-3317

NPI assigned

Apr 15, 2015

Last updated

Apr 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Cynthia R Puno

Title

President/Ceo

Phone

(818) 888-3385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164818225. Details of each certification follow.

• CCN 057470 Home health agency · Active · Details

Home health agency certification: CCN 057470

Legal name

COSMOPOLITAN HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 23, 1994

Last certification

Feb 28, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationProprietary

Enrollment address

21860 Burbank Blvd
Ste 180
Woodland Hills, CA 91367-7412

Listed as

Cosmopolitan Healthcare IncCCN 057470 · All quality measures

Ownership

Non-Profit

Certified

Mar 23, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1164818225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21860 BURBANK BLVD",
            "address_2": "SUITE 180",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676477",
            "telephone_number": "818-888-3385",
            "fax_number": "818-888-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21860 BURBANK BLVD",
            "address_2": "SUITE 180",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676477",
            "telephone_number": "818-888-3385",
            "fax_number": "818-888-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOPOLITAN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "PUNO",
        "authorized_official_first_name": "MARIA CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-888-3385"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Apr 15, 2015; 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.