Hera Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HERA HOME HEALTH, INC.

Practice address

14664 Victory Blvd Ste 204
Van Nuys, CA 91411-1621

Phone

(818) 446-6055

Fax

(818) 854-7342

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Hristo Ivanov

Title

Ceo

Phone

(818) 446-6055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559708

Legal name

HERA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 1, 2021

Last certification

Dec 1, 2021

Organization structure

CorporationProprietary

Incorporated

Nov 27, 2019 in CA

Enrollment address

9221 Corbin Ave
Ste 220
Northridge, CA 91324-2494

Listed as

Hera Home Health, IncCCN 559708 · All quality measures

Ownership

-

Certified

Dec 1, 2021

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": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1235769845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-446-6055",
            "fax_number": "818-854-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14664 VICTORY BLVD STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111621",
            "telephone_number": "818-446-6055",
            "fax_number": "818-854-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "HRISTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-446-6055"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrica Nicole Hendrix
• Hazel Henriquez
• Marilyn Henriquez
• Henry a Suarez DDS Inc
• Daron Henson
• Heratsi Home Health Care, Inc.
• Veronica Heredia
• Alyssa Marie Herman
• Kevin Hermosillo
• Brianna Roselyn Hernadez

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jan 22, 2020; 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.