Classic Care Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLASSIC CARE HOME HEALTH INC.

Practice address

2018 Hillhurst Ave
Los Angeles, CA 90027-2703

Phone

(818) 945-5669

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Anna Hakhumyan

Title

Ceo

Phone

(818) 945-5669

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559319

Legal name

CLASSIC CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 6, 2020

Last certification

Aug 6, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 6, 2018 in CA

Enrollment address

2018 Hillhurst Ave
Los Angeles, CA 90027-2703

Listed as

Classic Care Home Health IncCCN 559319

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Aug 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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 6

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

• Elise L Bukont, D.O.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1851449888

  Home health agency

  Care Compare affiliation
• Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1750519385

  Home health agency

  Care Compare affiliation
• Bruce Allen Jacobson, M.D.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1558314971

  Home health agency

  Care Compare affiliation
• Curtis Kiyoshi Kodama, D.O.

  • Family Medicine Physician
  • Moorpark, CA
  • NPI 1679560973

  Home health agency

  Care Compare affiliation
• Elvira Alexandrovna Lindwall, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1881890713

  Home health agency

  Care Compare affiliation
• Deepa K Reddy, M.D.

  • Family Medicine Physician
  • Simi Valley, CA
  • NPI 1609929397

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1184195331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BRAND BLVD STE 304",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272703",
            "telephone_number": "818-945-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "HAKHUMYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-945-5669"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Manuel Claros, LCSW
• Maria Elena Claros
• Miguel Antonio Claros
• Victoria Emily Class, MSW
• Suzanne Classen
• Classical Acupuncture Clinic
• Susan Claster, MD
• Noelle Claudat
• Claudia E Vides Inc a Dental Corporation
• Claudia Joan Rosa-Bienenfeld, MSW Licensed Clinical Social Worker, a P

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 23, 2023; 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.