NPIMap

Organization Active NPI

Homecare Medical Products Inc

Doing business as Comfortcare Medical Products

  • Durable Medical Equipment & Medical Supplies
  • Sylmar, CA
National Provider Identifier
1255484994
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMECARE MEDICAL PRODUCTS INC
Doing business as
Comfortcare Medical Products
Practice address
15823 Monte St Ste E106
Sylmar, CA 91342-7675
Phone
(323) 666-0414
Fax
(323) 913-4138
NPI assigned
Jan 18, 2007
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Mrs. Haikouhi Heidi Kavoukjian
Title
Secretary
Phone
(323) 666-0414

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

15823 Monte St Ste E106
Sylmar, CA 91342-7675

Mailing address

15823 Monte St Ste E106
Sylmar, CA 91342-7675
Phone (323) 666-0414

Other names 1

  • Comfortcare Medical Products Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073485 CA DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Oxygen & Equipment 9436362944 Practice locations: Sylmar, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Homecare Medical Products Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

15823 Monte St
Ste E106
Sylmar, CA 91342
Phone (323) 666-0414

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1255484994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15823 MONTE ST STE E106",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427675",
            "telephone_number": "323-666-0414",
            "fax_number": "323-913-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15823 MONTE ST STE E106",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427675",
            "telephone_number": "323-666-0414",
            "fax_number": "323-913-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MEDICAL PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "KAVOUKJIAN",
        "authorized_official_first_name": "HAIKOUHI",
        "authorized_official_middle_name": "HEIDI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-666-0414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfortcare Medical Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.