Excellency Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCELLENCY HOME HEALTH CARE, INC

Practice address

6422 Van Nuys Blvd Ste 103
Van Nuys, CA 91401-1436

Phone

(818) 387-6152

NPI assigned

Jan 4, 2019

Last updated

Jan 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khachatur Vahramyan

Title

Ceo

Phone

(818) 387-6152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245703958. Details of each certification follow.

• CCN 559438 Home health agency · Active · Details

Home health agency certification: CCN 559438

Legal name

EXCELLENCY HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 12, 2021

Last certification

Jan 12, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 2, 2018 in CA

Enrollment address

7502 Foothill Blvd
Ste 201
Tujunga, CA 91042-3814

Listed as

Excellency Home Health Care IncCCN 559438 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jan 12, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 3

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

• Silva Karchikian, MD

  • General Practice Physician
  • Glendale, CA
  • NPI 1922010388

  Home health agency

  Care Compare affiliation
• Saman Lashkari, M.D.

  • Nephrology Physician
  • Tarzana, CA
  • NPI 1447282421

  Home health agency

  Care Compare affiliation
• Neiveen Munthir Peter, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1295013951

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1245703958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 VAN NUYS BLVD STE 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 VAN NUYS BLVD STE 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011436",
            "telephone_number": "818-387-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCY HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "VAHRAMYAN",
        "authorized_official_first_name": "KHACHATUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-387-6152"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.