NPIMap

Organization Active NPI

Epic Homecare Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1235136177
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001294 Issued in CA
Legal business name
EPIC HOMECARE INC.
Practice address
6404 Wilshire Blvd
Ste 550
Los Angeles, CA 90048-5501
Phone
(323) 655-6186
Fax
(323) 655-6118
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Michael Neuman
Title
Administrator
Phone
(323) 655-6186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001294 CA Primary

Addresses

Primary practice location

6404 Wilshire Blvd
Ste 550
Los Angeles, CA 90048-5501

Mailing address

6404 Wilshire Blvd
Ste 550
Los Angeles, CA 90048-5501
Phone (323) 655-6186

Other identifiers 1

IdentifierTypeStateIssuer
HHA08049FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000498 CA Part A Provider - Home Health Agency 7911080296 Practice locations: Los Angeles, CA

Home health agency certification: CCN 058049

Legal name
EPIC HOMECARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 2, 1999
Last certification
Oct 18, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 20, 1999 in CA
Enrollment address
6404 Wilshire Blvd
Ste 550
Los Angeles, CA 90048-5516
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Epic Homecare IncCCN 058049 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 2, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0961524Epic Homecare Inc6404 Wilshire Blvd Ste 550, Los Angeles, CA 90048Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Locations

6404 Wilshire Blvd
Ste 550
Los Angeles, CA 90048
Phone (323) 655-6186

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Melius Medical Inc. Organization, Calabasas, CA Created for acquisition, Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Dec 24, 2014 100%
Victoria Litvak Individual W-2 Managing EmployeeDirector of Patient Care Service May 16, 2016
Yana Seleznov Individual 5% Or Greater Indirect Ownership Interest Dec 24, 2014 49%
Corporate OfficerVice President Dec 24, 2014
Corporate Director Dec 24, 2014
W-2 Managing EmployeeAdministrator Dec 24, 2014 49%
Yevgen Seleznov Individual 5% Or Greater Indirect Ownership Interest Dec 24, 2014 51%
Corporate OfficerPresident, Treasurer and Secretary Dec 24, 2014
Corporate Director Dec 24, 2014
W-2 Managing EmployeeCeo Dec 24, 2014 51%

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1235136177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "STE 550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485501",
            "telephone_number": "323-655-6186",
            "fax_number": "323-655-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "STE 550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485501",
            "telephone_number": "323-655-6186",
            "fax_number": "323-655-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-655-6186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08049F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.