Med Group Home Health Care Inc.

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

MED GROUP HOME HEALTH CARE INC.

Practice address

1633 Erringer Rd
Suite 201a
Simi Valley, CA 93065-3583

Phone

(805) 210-5509

Fax

(805) 210-5548

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Edgar Melkumyan

Title

President/Ceo

Phone

(805) 210-5509

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559757

Legal name

MED GROUP HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 2, 2020

Last certification

Dec 2, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 28, 2016 in CA

Enrollment address

1633 Erringer Rd
Ste 201a
Simi Valley, CA 93065-3557

Listed as

Med Group Home Health Care IncCCN 559757

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Dec 2, 2020

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 2

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

• James Peter Howard, M.D.

  • General Practice Physician
  • Encinitas, CA
  • NPI 1396940854

  Home health agency

  Care Compare affiliation
• Richard Henry Hubbard, M.D., J.D.

  • Specialist
  • Calexico, CA
  • NPI 1912121799

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1245779461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "SUITE 201A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-210-5509",
            "fax_number": "805-210-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "SUITE 201A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-210-5509",
            "fax_number": "805-210-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED GROUP HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MELKUMYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-210-5509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith C McMahon, LCSW
• Kristen McNeely, LMFT, BCBA
• Ken'Niya Danazay McRoy
• Tiffany Amber McWilliams
• MD Neuro Billing Services Inc
• Mayra Patricia Medina, LCSW
• Meditative Minds Counseling and Wellness
• Myrn Lisa Medlock, RN, PHN
• Luis Medrano, OTR/L
• Nancy Medrano

• Home Infusion Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Home Infusion Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.