Fortune Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FORTUNE HOME HEALTH CARE

Practice address

735 W Duarte Rd Ste 302
Arcadia, CA 91007-9502

Phone

(747) 257-7922

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Lilit Khachatryan

Title

Ceo

Phone

(747) 257-7922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758033

Legal name

FORTUNE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 26, 2025

Last certification

Jun 6, 2025

Organization structure

CorporationProprietary

Enrollment address

2331 Honolulu Ave
Ste E
Montrose, CA 91020-1844

Listed as

Fortune Home Health CareCCN 758033

Ownership

-

Certified

Jun 26, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1225615560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W DUARTE RD STE 302",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079502",
            "telephone_number": "747-257-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W DUARTE RD STE 302",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079502",
            "telephone_number": "747-257-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-257-7922"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.