Organization Active NPI

Simple Home Health Care, Inc.

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1245846609
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLE HOME HEALTH CARE, INC.
Practice address
761 E Green St Ste 7
Pasadena, CA 91101-2124
Phone
(747) 322-7759
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Harutyun Karapetyan
Title
Ceo
Phone
(747) 322-7759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

761 E Green St Ste 7
Pasadena, CA 91101-2124

Mailing address

761 E Green St Ste 7
Pasadena, CA 91101-2124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201028002504 CA Part A Provider - Home Health Agency 9739599911 Practice locations: Pasadena, CA

Home health agency certification: CCN 559641

Legal name
SIMPLE HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 16, 2021
Last certification
Sep 10, 2021
Organization structure
CorporationProprietary
Incorporated
Aug 22, 2020 in CA
Enrollment address
761 E Green St
Ste 7
Pasadena, CA 91101-2124

Care Compare: Home health agency

Medicare Care Compare
Listed as
Simple Home Health Care, IncCCN 559641
Overall star rating
4 of 5
Ownership
-
Certified
Sep 16, 2021
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
05D2289422Simple Home Health Care, Inc.761 E Green St Ste 7, Pasadena, CA 91101Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

761 E Green St
Ste 7
Pasadena, CA 91101
Phone (747) 322-7759

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
SH Management Group Inc Organization, Pasadena, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Aug 22, 2020 100%
Nazeli Nelly Nazari Individual 5% Or Greater Indirect Ownership Interest Oct 12, 2022 100%
Corporate OfficerCeo/Cfo/Sec Oct 12, 2022 100%
Corporate DirectorCeo/Cfo/Sec Oct 12, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Sec Oct 12, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1245846609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E GREEN ST STE 7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 E GREEN ST STE 7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012124",
            "telephone_number": "747-322-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-322-7759"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.