Virginia Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001396 Issued in CA

Legal business name

VIRGINIA HOME CARE, INC.

Practice address

1 W California Blvd Ste 226
Pasadena, CA 91105-3032

Phone

(626) 796-5296

Fax

(626) 796-2678

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Bruck Mengistu

Title

President

Phone

(626) 796-5296

Specialties & licenses 1

Addresses

Other names 1

• Virginia Home Care Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058152

Legal name

VIRGINIA HOME CARE, INC.

Doing business as

VIRGINIA HOME CARE AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 31, 2002

Last certification

Jul 1, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 12, 2003 in CA

Enrollment address

1 W California Blvd
Ste 226
Pasadena, CA 91105-3032

Listed as

Virginia Home Care AgencyCCN 058152

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Dec 31, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Henry A Horton, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1457653602

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Henry A Horton, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1457653602

  Home health agency

  Care Compare affiliation
• Kenith K Paresa, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1013952159

  Home health agency

  Care Compare affiliation
• Amanuel Sima, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1366493744

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1194882530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CALIFORNIA BLVD STE 226",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053032",
            "telephone_number": "626-796-5296",
            "fax_number": "626-796-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CALIFORNIA BLVD STE 226",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053032",
            "telephone_number": "626-796-5296",
            "fax_number": "626-796-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MENGISTU",
        "authorized_official_first_name": "BRUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-796-5296"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kosol Vipapan, O.D.
• Erin Michelle Viray
• Haley Viray
• Wembley Virgen
• Denine Michelle Virgil
• Virtue Hospice Care
• Virtuous Life Hospice Inc.
• Samira Nikul Vishria - Kapadia, LCSW
• Vital Connect, Inc
• Vital Head and Spinal Care, a Licata Chiropractic Corporation

• Home Health Agency in Pasadena, CA
• Providers in Pasadena, 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 Nov 18, 2024; 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.