Organization Active NPI

Heart to Heart Home Health Care Agency, LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1255899696
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEART TO HEART HOME HEALTH CARE AGENCY, LLC
Practice address
13231 N 35TH Ave Ste 5a
Phoenix, AZ 85029-1233
Phone
(602) 354-8898
Fax
(602) 419-2919
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Mrs. Lilit Sedrakyan, LCSW
Title
Owner
Phone
(818) 491-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13231 N 35TH Ave Ste 5a
Phoenix, AZ 85029-1233

Mailing address

13231 N 35TH Ave Ste 5a
Phoenix, AZ 85029-1233
Phone (602) 354-8898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906001266 AZ Part A Provider - Home Health Agency 8820327497 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037502

Legal name
HEART TO HEART HOME HEALTH CARE AGENCY, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 8, 2020
Last certification
Jan 8, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 25, 2019 in AZ
Enrollment address
13231 N 35TH Ave
Ste 5a
Phoenix, AZ 85029-1233
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heart to Heart Home Health Care Agency, LLCCCN 037502
Ownership
Proprietary
Certified
Jan 8, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
03D2166855Heart to Heart Home Health Care Agency, LLC13231 N 35TH Ave Suite A5, Phoenix, AZ 85029Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

13231 N 35th Ave
Ste 5A
Phoenix, AZ 85029
Phone (602) 354-8898

Ownership & related parties

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.

NameRoleSinceShare
Lilit Sedrakyan Individual 5% Or Greater Direct Ownership Interest Jan 25, 2019 100%
W-2 Managing Employee Jan 25, 2019 100%

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1255899696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13231 N 35TH AVE STE 5A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291233",
            "telephone_number": "602-354-8898",
            "fax_number": "602-419-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13231 N 35TH AVE STE 5A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291233",
            "telephone_number": "602-354-8898",
            "fax_number": "602-419-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART HOME HEALTH CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SEDRAKYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-491-3333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.