Organization Active NPI

Be Healthy Home Health Inc

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1225560188
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0002973930 Issued in CA
Legal business name
BE HEALTHY HOME HEALTH INC
Practice address
18401 Burbank Blvd
#110
Tarzana, CA 91356-2822
Phone
(818) 798-5530
Fax
(818) 851-7859
NPI assigned
Mar 30, 2017
Last updated
Sep 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Yelena ShekhtmanNPI 1790297919
Title
Ceo
Phone
(818) 798-5530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0002973930 CA Primary

Addresses

Primary practice location

18401 Burbank Blvd
#110
Tarzana, CA 91356-2822

Mailing address

18401 Burbank Blvd
#110
Tarzana, CA 91356-2822
Phone (818) 798-5530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170926004068 CA Part A Provider - Home Health Agency 1153695390 Practice locations: Mission Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225560188. Details of each certification follow.

Home health agency certification: CCN 757169

Legal name
BE HEALTHY HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 11, 2021
Last certification
Sep 17, 2021
Organization structure
CorporationProprietary
Incorporated
Nov 1, 2015 in CA
Enrollment address
10117 Sepulveda Blvd
Suite 205a
Mission Hills, CA 91345-2878
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Be Healthy Home Health Care, IncCCN 757169 · All quality measures
Overall star rating
4.5 of 5
Ownership
-
Certified
Nov 11, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18401 Burbank Blvd
Ste 110
Tarzana, CA 91356
Phone (818) 798-5530

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
Yelena Shekhtman Individual 5% Or Greater Direct Ownership InterestOwner Nov 1, 2015 100%
Corporate OfficerCeo/Cfo Feb 1, 2017 100%
Corporate DirectorDPCS/Administrator Feb 1, 2017 100%
W-2 Managing EmployeeCeo/Cfo Feb 1, 2017 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1225560188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD",
            "address_2": "#110",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562822",
            "telephone_number": "818-798-5530",
            "fax_number": "818-851-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD",
            "address_2": "#110",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562822",
            "telephone_number": "818-798-5530",
            "fax_number": "818-851-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE HEALTHY HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "SHEKHTMAN",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-798-5530"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "0002973930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.