Organization Active NPI

Attentive Services Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1245238500
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001338 Issued in CA
Legal business name
ATTENTIVE SERVICES HOME HEALTH, INC.
Practice address
8425 W 3Rd Street
#403
Los Angeles, CA 90048
Phone
(323) 655-0080
Fax
(866) 574-3020
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Mrs. Marilyn Tuliva
Title
Office Manager
Phone
(213) 448-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001338 CA Primary

Addresses

Primary practice location

8425 W 3Rd Street
#403
Los Angeles, CA 90048

Mailing address

9801 2ND Avenue
Inglewood, CA 90305-4126
Phone (323) 655-0080

Other identifiers 3

IdentifierTypeStateIssuer
HHA08087FMedicaidCA
CGP170883OtherCACCS
ZZZ05608ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030408000051 CA Part A Provider - Home Health Agency 3274442231 Practice locations: North Hollywood, CA

Home health agency certification: CCN 058087

Legal name
ATTENTIVE SERVICES HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 23, 2001
Last certification
Mar 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 19, 2000 in CA
Enrollment address
11240 Magnolia Blvd
Ste 103
North Hollywood, CA 91601-3790
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Attentive Services Home Health IncCCN 058087
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 23, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

292 S La Cienega Blvd
#306
Beverly Hills, CA 90211
Phone (310) 360-5999

3600 Wilshire Blvd
Ste 1416
Los Angeles, CA 90010
Phone (213) 384-9910

8425 W 3rd St
Ste 403
Los Angeles, CA 90048
Phone (323) 655-0080

8425 W 3rd St
Ste 305
Los Angeles, CA 90048
Phone (323) 655-0080

11240 Magnolia Blvd
Ste 103
North Hollywood, CA 91601
Phone (818) 853-7210

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
Hayk Karapetyan Individual 5% Or Greater Direct Ownership InterestOwner Aug 9, 2016 100%
Corporate OfficerCeo Aug 9, 2016 100%
Corporate DirectorChairman of the Board Aug 9, 2016
Elma Khechemyan Individual W-2 Managing EmployeeAdministrator Aug 11, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1245238500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 2ND AVENUE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903054126",
            "telephone_number": "323-655-0080",
            "fax_number": "866-574-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 W 3RD STREET",
            "address_2": "#403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-655-0080",
            "fax_number": "866-574-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTENTIVE SERVICES HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "TULIVA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-448-5502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08087F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "CGP170883",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05608Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.