Organization Active NPI

KH Home Health Services Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1174283659
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KH HOME HEALTH SERVICES INC
Practice address
7590 N Glenoaks Blvd Ste 106
Burbank, CA 91504-1011
Phone
(747) 966-2001
Fax
(747) 966-2003
NPI assigned
Dec 23, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Oksanna Aghavelli
Title
Ceo
Phone
(747) 966-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7590 N Glenoaks Blvd Ste 106
Burbank, CA 91504-1011

Mailing address

7590 N Glenoaks Blvd Ste 106
Burbank, CA 91504-1011
Phone (747) 966-2001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230206000117 CA Part A Provider - Home Health Agency 6002288859 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174283659. Details of each certification follow.

Home health agency certification: CCN 757522

Legal name
KH HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 2, 2024
Last certification
Dec 21, 2023
Organization structure
CorporationProprietary
Enrollment address
1141 N Brand Blvd
Ste 308
Glendale, CA 91202-2511

Care Compare: Home health agency

Medicare Care Compare
Listed as
KH Home Health Services IncCCN 757522 · All quality measures
Ownership
-
Certified
Jan 2, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7590 N Glenoaks Blvd
Ste 106
Burbank, CA 91504
Phone (747) 966-2001

1141 N Brand Blvd
Ste 308
Glendale, CA 91202
Phone (747) 966-2001

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
Oksanna Aghavelli Individual 5% Or Greater Direct Ownership Interest Dec 6, 2021 100%
Corporate OfficerCeo Dec 6, 2021 100%
Corporate DirectorCeo Dec 6, 2021 100%
W-2 Managing EmployeeCeo Dec 6, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1174283659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041011",
            "telephone_number": "747-966-2001",
            "fax_number": "747-966-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 N GLENOAKS BLVD STE 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041011",
            "telephone_number": "747-966-2001",
            "fax_number": "747-966-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KH HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "AGHAVELLI",
        "authorized_official_first_name": "OKSANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-966-2001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.