Organization Active NPI

Bella Home Health

  • Home Health Agency
  • Panorama City, CA
National Provider Identifier
1225797723
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BELLA HOME HEALTH
Practice address
14621 Titus St Ste 218
Panorama City, CA 91402-4906
Phone
(747) 800-3872
NPI assigned
Dec 12, 2021
Last updated
Dec 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Authorized official

Name
Rebeka Durgaryan
Title
Ceo
Phone
(747) 800-3872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14621 Titus St Ste 218
Panorama City, CA 91402-4906

Mailing address

14621 Titus St Ste 218
Panorama City, CA 91402-4906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311000229 CA Part A Provider - Home Health Agency 2860887775 Practice locations: Panorama City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225797723. Details of each certification follow.

Home health agency certification: CCN 757384

Legal name
BELLA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 4, 2023
Last certification
Aug 24, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2021 in CA
Enrollment address
14621 Titus St
Ste 218
Panorama City, CA 91402-4906

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bella Home HealthCCN 757384 · All quality measures
Ownership
-
Certified
Oct 4, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Bella Med Group Organization, Van Nuys, CA Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 30, 2024 51%
Rebecca R Iglesias Individual 5% Or Greater Direct Ownership Interest Apr 30, 2024 49%
Corporate OfficerCeo/Cfo/Secretary Apr 30, 2024 100%
Corporate DirectorCeo/Cfo/Secretary Apr 30, 2024 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Apr 30, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1225797723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST STE 218",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST STE 218",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024906",
            "telephone_number": "747-800-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "DURGARYAN",
        "authorized_official_first_name": "REBEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-800-3872"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.