Soul Care Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUL CARE HOME HEALTH

Practice address

21243 Ventura Blvd Ste 235
Woodland Hills, CA 91364-2113

Phone

(423) 444-4414

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Tigran Hakobyan

Title

President/Ceo

Phone

(818) 564-4515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757098

Legal name

SOUL CARE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 17, 2022

Last certification

Aug 10, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 29, 2020 in CA

Enrollment address

30851 Agoura Rd
Ste 111
Agoura Hills, CA 91301-4343

Listed as

Soul Care Home HealthCCN 757098

Ownership

Proprietary

Certified

Aug 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

Locations

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.

Affiliated clinicians 5

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

• Anil Daya, M.D.

  • Internal Medicine Physician
  • Westlake Village, CA
  • NPI 1770542722

  Home health agency

  Care Compare affiliation
• Zoya Furman, M.D.

  • Internal Medicine Physician
  • Thousand Oaks, CA
  • NPI 1083635205

  Home health agency

  Care Compare affiliation
• Aamir Iqbal, M.D.

  • Hospitalist Physician
  • Thousand Oaks, CA
  • NPI 1174054019

  Home health agency

  Care Compare affiliation
• Bader Iqbal, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1346254364

  Home health agency

  Care Compare affiliation
• Sikander Kajani, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Northridge, CA
  • NPI 1851380992

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1174124994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD STE 235",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642113",
            "telephone_number": "423-444-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD STE 235",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642113",
            "telephone_number": "423-444-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-564-4515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrna Raquel Sotelo
• Jose Soto-Jimenez
• Jessica Soto
• Samantha Eleyna Soto
• Stephanie S Soto
• Soulh Kiki S Corner Corp
• Mark John Souris, PSYD
• Sepideh A Souris, PSY.D.
• Southern California Medical Center, Inc.
• Southern California Permanente Medical Group

• 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 Nov 6, 2020; 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.