Organization Active NPI

Kindcare Home Health, Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1184072696
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINDCARE HOME HEALTH, INC
Practice address
3200 Wilshire Blvd Ste 308
Los Angeles, CA 90010-1347
Phone
(213) 908-5505
Fax
(213) 908-5509
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mariam Gasparian
Title
Ceo
Phone
(213) 908-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3200 Wilshire Blvd Ste 308
Los Angeles, CA 90010-1347

Mailing address

3200 Wilshire Blvd Ste 308
Los Angeles, CA 90010-1347
Phone (213) 908-5505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830001404 CA Part A Provider - Home Health Agency 3577858547 Practice locations: Los Angeles, CA

Home health agency certification: CCN 559038

Legal name
KINDCARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 22, 2019
Last certification
May 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 19, 2016 in CA
Enrollment address
3200 Wilshire Blvd
Ste 308
Los Angeles, CA 90010-1347

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kindcare Home Health, IncCCN 559038 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
May 22, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2194687Kindcare Home Health Inc3200 Wilshire Blvd Ste 308, Los Angeles, CA 90010Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Locations

1720 E Washington Blvd
Ste 224
Pasadena, CA 91104
Phone (626) 545-0550

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
Mariam E Gasparian Individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Corporate OfficerCeo/Cfo/Secretary Jan 1, 2023
Corporate DirectorCeo/Cfo/Secretary Jan 1, 2023 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jan 1, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1184072696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WILSHIRE BLVD STE 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101347",
            "telephone_number": "213-908-5505",
            "fax_number": "213-908-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WILSHIRE BLVD STE 308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101347",
            "telephone_number": "213-908-5505",
            "fax_number": "213-908-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDCARE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "GASPARIAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-908-5505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.