Home Health Integrated Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000859 Issued in CA

Legal business name

HOME HEALTH INTEGRATED SERVICES, INC

Practice address

704 S Main St
Burbank, CA 91506-2529

Phone

(818) 558-6685

Fax

(818) 558-6718

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Aegean Jaime Carolino

Title

President /Ceo

Phone

(818) 558-6685

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557473

Legal name

HOME HEALTH INTEGRATED SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 24, 1995

Last certification

Jan 23, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 1, 1997 in CA

Enrollment address

704 S Main St
Burbank, CA 91506-2529

Listed as

Home Health Integrated Services IncCCN 557473 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Feb 24, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Tax ID family

Home Health Integrated Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Home Health Integrated Services, Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1154194942
  NPD tax ID

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.

Affiliated clinicians 2

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

• Manzar S Kuraishi, MD

  • General Practice Physician
  • Burbank, CA
  • NPI 1427028349

  Home health agency

  Care Compare affiliation
• Daniel Nader Niknam, DO

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1598262073

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1255310900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S MAIN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062529",
            "telephone_number": "818-558-6685",
            "fax_number": "818-558-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S MAIN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062529",
            "telephone_number": "818-558-6685",
            "fax_number": "818-558-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH INTEGRATED SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "CAROLINO",
        "authorized_official_first_name": "AEGEAN",
        "authorized_official_middle_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "818-558-6685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57473G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holy Cross Home Health Inc.
• Holy Home Health Care
• Home Health Cala
• Home Health Care Pros Inc
• Home Health Integrated Services, Inc
• Home Health Services of So-Cal Inc
• Homedic Hospice Care
• Honest Home Care Inc
• Honest Hospice Care Inc
• George Craig Hong

• Home Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.