Organization Active NPI

Faith & Hope Home Health Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1174854772
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAITH & HOPE HOME HEALTH INC
Practice address
144 S First St
Num 200a
Burbank, CA 91502-1948
Phone
(818) 333-0880
Fax
(818) 333-1563
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Vagram Antonian
Title
President
Phone
(818) 333-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

144 S First St
Num 200a
Burbank, CA 91502-1948

Mailing address

144 S First St
Num 200a
Burbank, CA 91502-1948
Phone (818) 333-0880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100220000224 CA Part A Provider - Home Health Agency 3375687981 Practice locations: Encino, CA

Home health agency certification: CCN 059351

Legal name
FAITH & HOPE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 21, 2011
Last certification
Apr 8, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 8, 2009 in CA
Enrollment address
5435 Balboa Blvd
Ste 110
Encino, CA 91316-1566
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Faith & Hope Home Health, Inc.CCN 059351
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jul 21, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

144 S 1st St
Ste 200A
Burbank, CA 91502
Phone (818) 333-0880

144 S 1st St
#200A
Burbank, CA 91502
Phone (818) 333-0880

5435 Balboa Blvd
Ste 110
Encino, CA 91316
Phone (818) 701-8771

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
Natalya Tsikanovsky Abramson Individual 5% Or Greater Direct Ownership InterestOwner Mar 20, 2020 100%
Corporate OfficerAdmin& Dopcs Mar 20, 2020 100%
Corporate DirectorAdmin& Dopcs Mar 20, 2020 100%
W-2 Managing EmployeeAdmin& Dopcs Mar 20, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1174854772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S FIRST ST",
            "address_2": "NUM 200A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021948",
            "telephone_number": "818-333-0880",
            "fax_number": "818-333-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S FIRST ST",
            "address_2": "NUM 200A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021948",
            "telephone_number": "818-333-0880",
            "fax_number": "818-333-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & HOPE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "ANTONIAN",
        "authorized_official_first_name": "VAGRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-333-0880"
    },
    "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.