Organization Active NPI

First Med Home Health Care, Inc.

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1235897927
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST MED HOME HEALTH CARE, INC.
Practice address
17941 Ventura Blvd Ste 209
Encino, CA 91316-4817
Phone
(818) 588-4940
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Kristine Ghazanchyan
Title
Ceo
Phone
(818) 588-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17941 Ventura Blvd Ste 209
Encino, CA 91316-4817

Mailing address

17941 Ventura Blvd Ste 209
Encino, CA 91316-4817
Phone (818) 588-4940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205002083 CA Part A Provider - Home Health Agency 2466895651 Practice locations: Encino, CA

Home health agency certification: CCN 757841

Legal name
FIRST MED HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 2025
Last certification
Feb 12, 2025
Organization structure
CorporationProprietary
Incorporated
Nov 15, 2021 in CA
Enrollment address
17941 Ventura Blvd
Ste 209
Encino, CA 91316-4817

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Med Home Health Care, Inc.CCN 757841
Ownership
-
Certified
Feb 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2315941First Med Home Health Care, Inc17941 Ventura Blvd, Ste 209, Encino, CA 91316Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

17941 Ventura Blvd
Ste 209
Encino, CA 91316
Phone (818) 588-4940

Ownership & related parties

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.

NameRoleSinceShare
Kristine Ghazanchyan Individual 5% Or Greater Direct Ownership Interest Nov 27, 2023 100%
Corporate Officer Nov 27, 2023 100%
Corporate Director Nov 27, 2023 100%
W-2 Managing Employee Nov 27, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1235897927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17941 VENTURA BLVD STE 209",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164817",
            "telephone_number": "818-588-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17941 VENTURA BLVD STE 209",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164817",
            "telephone_number": "818-588-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MED HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "GHAZANCHYAN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-588-4940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.