Care Source Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CARE SOURCE HOME HEALTH CARE INC

Practice address

9017 Reseda Blvd Ste 205
Northridge, CA 91324-3984

Phone

(424) 600-3335

Fax

(424) 600-3349

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Skarlet Barsegyan

Title

Ceo

Phone

(424) 600-3335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225797558. Details of each certification follow.

• CCN 758012 Home health agency · Active · Details

Home health agency certification: CCN 758012

Legal name

CARE SOURCE HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 15, 2025

Last certification

May 15, 2025

Organization structure

CorporationProprietary

Enrollment address

9017 Reseda Blvd
Ste 205
Northridge, CA 91324-3984
HHA Branch

Listed as

Care Source Home Health Care IncCCN 758012 · All quality measures

Ownership

-

Certified

May 15, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1225797558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 RESEDA BLVD STE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243984",
            "telephone_number": "424-600-3335",
            "fax_number": "424-600-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 RESEDA BLVD STE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243984",
            "telephone_number": "424-600-3335",
            "fax_number": "424-600-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SOURCE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "BARSEGYAN",
        "authorized_official_first_name": "SKARLET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-600-3335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Northridge, CA
• Providers in Northridge, 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 Dec 14, 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.