Organization Active NPI

Pink Cross Home Health Inc.

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1184196263
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINK CROSS HOME HEALTH INC.
Practice address
543 E San Bernardino Rd Ste a
Covina, CA 91723-1789
Phone
(626) 331-0708
NPI assigned
Dec 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Authorized official

Name
Lusine Kirakosyan
Title
Ceo
Phone
(626) 331-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

543 E San Bernardino Rd Ste a
Covina, CA 91723-1789

Mailing address

543 E San Bernardino Rd Ste a
Covina, CA 91723-1789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200318000313 CA Part A Provider - Home Health Agency 5092143461 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559270

Legal name
PINK CROSS HOME HEALTH INC
Doing business as
MONARCH MEDICAL BILLING
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 27, 2020
Last certification
Apr 27, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 14, 2018 in CA
Enrollment address
7250 Valjean Ave
Van Nuys, CA 91406-3412
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pink Cross Home Health Inc.CCN 559270
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Apr 27, 2020
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
05D2272246Pink Cross Home Health Care Inc7250 Valjean Ave, Van Nuys, CA 91406Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Locations

543 E San Bernardino Rd
Ste A
Covina, CA 91723
Phone (626) 331-0708

7250 Valjean Ave
Van Nuys, CA 91406
Phone (626) 331-0708

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
Lusine Kirakosyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 14, 2018 100%
Corporate OfficerCeo-Chairman of Board Sep 14, 2018 100%
Corporate DirectorCeo Sep 14, 2018 100%
W-2 Managing Employee Sep 14, 2018 100%
Operational/Managerial ControlCeo Sep 14, 2018 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": "1546041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546041600000",
    "number": "1184196263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 E SAN BERNARDINO RD STE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 E SAN BERNARDINO RD STE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231789",
            "telephone_number": "626-331-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK CROSS HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-331-0708"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.