Active NPI
Faith & Hope Home Health Inc
- Home Health Agency
- Burbank, CA
National Provider Identifier
1174854772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jun 8, 2009 in CA
- Enrollment address
- 5435 Balboa Blvd
Ste 110
Encino, CA 91316-1566
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Faith & Hope Home Health, Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 21, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Natalya Tsikanovsky Abramson | 5% Or Greater Direct Ownership Interest | Mar 20, 2020 | 100% |
| Corporate Officer | Mar 20, 2020 | 100% | |
| Corporate Director | Mar 20, 2020 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.